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LCC Membership Cancellation Request

  1. Member Info
    Please fill out the request form if you wish to cancel your Liberty Community Center (LCC) Membership. To ensure the cancellation of your membership before your next payment, a 30 day notice is required for all monthly bank draft memberships.
  2. Please select the type of membership you have*
  3. Please select the reason for the cancellation*
    (select all that apply)
  4. Rate Your Experience
    Under each category, please select the number that best describes your overall experience. If you did not utilize a particular area, please select NA.
  5. Receipt*
  6. Thank You
    Your cancellation request will be submitted to the LCC administrator for processing. Please allow up to 48 hours for the request to be received. We would like to thank you for your business and hope to see you again in the future.
  7. Leave This Blank:

  8. This field is not part of the form submission.