RecPlex Membership Cancellation Request

First Name:

Middle Name:

Last Name:

Phone:

Email:

N Number:

Membership Type:

Members to Cancel: Member #1

Member #2

Member #3

Reason for Cancellation
Became a NSU fee paying student (no cancellation fee) *
Change of address to more than 20 miles away from NSU - with verification of new address, utility bill, etc. (no cancellation fee) *
Physical limitation (with provided documentation from a licensed physician) *
No longer employed with NSU *
Other **

* No cancellation fee
** Subject to cancellation fee

Please note: Cancellation requests must be received by the office of Recreation and Wellness via this web form ten business days prior to the next billing cycle and will be processed for that said billing cycle.

Documentation as indicated above must be provided to avoid a cancellation fee within the first calendar year of the membership agreement.

Cancellation fees are waived after a person completes one full calendar year of membership.

You will receive an email notification with confirmation of your cancellation once it has been processed. If you do not receive this notification assume you are still going to be charged.

If you are charged for membership dues after you have received approval to cancel, you must notify us within 30 days to correct the issue. Refunds will be approved for a maximum of one membership month or up to two pay periods.

Please verify that you have completed all required fields and are not a robot before submitting this form.