You must have JavaScript enabled to use this form. Required field Your full name Your e-mail Bloomsbury Fitness membership number Reason for cancellation Financial Facilities Lack of time Cleaniliness Moving away None of the above Other: If the reasons for cancellation above do not fit your situation, please feel free to add your reason(s) here. I confirm I will contact my bank to cancel my direct debit a minimum of five working days before the end of the month. Note you will need to contact your bank to do this. Refunds may not be offered if you do not contact your bank before the cut-off each month. Leave this field blank
