Primary Member Barcode or Agreement# Primary Member Name	* required    * required
Reason(s) for terminating your Sports Mall membership.	Moving Do Not Use Cost Dissatified Other Add Comments Here.
Termination Agreement:	* required By entering my initials above, I understand that my membership will be cancelled and that all benefits and privileges of membership at the Sports Mall will be terminated.  I agree to pay any outstanding balance in full including any dues to be assessed for the 30 days that my membership remains active from the date my cancellation request is submitted.  I understand that failure to pay can result in my balance being forwarded to a collection agency for recovery of my outstanding balance plus collection fees.