Cancellation Request Form

7 day notice requirement for any cancellation requests

Yes, I understand

Your Name

Email Address Used on Actif Account

Member ID

This can be found on your confirmation email when you first joined Actif

Cancellation Date

Please Note: a cancellation can only be made at the end of each month. Please state the end of which month you would like to cancel.

Reason for cancellation

Are you the primary member?

Yes