BRICK BODIES/LYNNE BRICK'S HEALTH CLUB
CANCELLATION FORM

After the initial term of your membership agreement has been fulfilled and if all payments due the club are current, you may cancel your membership by filling out the form below.

If the terms of your agreement are not met and if there is an outstanding balance on your account, you will be contacted by someone from the billing office and your membership will not be cancelled.

If you are still in the initial term of your agreement, you cannot cancel online. You must send your request via certified mail with all other necessary documents and payments to the following address:

Brick Bodies Fitness
Billing Department
201 Old Padonia Road
Cockeysville, MD 21030

Or you can go to the club and do the following:

  1. Submit proof, to the club's satisfaction, that you have moved outside of a 15 mile radius from the club. This would include a BGE meter reading, a lease, mortgage, or a bill sent to your new residence.
  2. You must have your buyout fee along with any unpaid dues.
All requests must be received 15 days prior to the next billing date or another debit will be made as scheduled.

IF YOU WISH TO CANCEL UNDER THE TERMS OF OUR 14 DAY COMFORT GUARANTEE, YOU CANNOT CANCEL ONLINE. YOU MUST SEND NOTICE VIA CERTIFIED LETTER, OR HAND-DELIVER NOTICE TO THE CLUB.

** All Fields are Required

Last Name: First Name:
Phone Number: Member's Email:
Reason for cancelling:
Please choose one option:  I am the only member on this account
 I wish to cancel every member on my account
 I wish to leave only the following members
active on my account. Please include first and last name.

By choosing this option you agree and understand that if the primary member cancels, then the remaining, or one of the remaining, member(s) will pay the dues of the primary member.
Primary club?
 I have read and understand all of the terms outlined on this form.  Please type your initials.
Please use this to confirm your form.

Thank you. Please submit below.