SOUTHLAND
PARK
SOUTHLAND PARK FITNESS CENTRE
#83 — 10333 Southport Road SW Calgary, Alberta ‘T2W 3X6
Membership Cancellation Notification
EFFECTIVE DATE: YY MM ‘DD
Qoad o4 4
‘NAME (PLEASE PRINT)
i ee
COMPANY NAME
Kiewit Co oRATION
REASON FOR CANCELLATION:
UL) lok
for cancellations effective atthe
+ than the 20th ofthe month,
0.00 Administrative Fee for Tenants to Re-Join.
This form must be submitted no late
he initial three month minimum term of membership
END OF THE MONTH. There is a $5
‘Cancellation will only be effective once th
has been completed
FT MMT DD |
MEMBER SIGNATURE