PLC ACCOUNT ENQUIRIES

USE THIS FORM TO MANAGE YOUR MEMBERSHIP

(TRANSFER REQUESTS, MEMBERSHIP SUSPENSIONS & CANCELATION REQUESTS)

Name *

Email *

Phone *

Enquiry Type *

Suspension Request Start Date *

Suspension Request End Date *

Select your club *

My reason for wanting to cancel membership *

Club you wish to transfer to *

My reason for wanting to suspend membership *

My reason for wanting to transfer to another PLC home club *

If you selected "Other" please add additional information here *

How long have you been a PLC Member for? *

What is your favourite PLC Session? *

Out of 10, how challenging do you find the PLC Sessions? *

Rate 1 out of 10Rate 2 out of 10Rate 3 out of 10Rate 4 out of 10Rate 5 out of 10Rate 6 out of 10Rate 7 out of 10Rate 8 out of 10Rate 9 out of 10Rate 10 out of 10

Out of 10, how would you rate your results at PLC so far? *

Rate 1 out of 10Rate 2 out of 10Rate 3 out of 10Rate 4 out of 10Rate 5 out of 10Rate 6 out of 10Rate 7 out of 10Rate 8 out of 10Rate 9 out of 10Rate 10 out of 10

Out of 10, how would you rate the level of support and motivation you receive at PLC? *

Rate 1 out of 10Rate 2 out of 10Rate 3 out of 10Rate 4 out of 10Rate 5 out of 10Rate 6 out of 10Rate 7 out of 10Rate 8 out of 10Rate 9 out of 10Rate 10 out of 10

What would you like to see and experience more of at PLC?

Out of 10, how likely would you be to recommend PLC? *

Rate 1 out of 10Rate 2 out of 10Rate 3 out of 10Rate 4 out of 10Rate 5 out of 10Rate 6 out of 10Rate 7 out of 10Rate 8 out of 10Rate 9 out of 10Rate 10 out of 10

Please provide any additional feedback/suggestions on how we can improve our service.

On submission of your request, your club manager will contact you within 48hrs to process your request. What time of day is best for them to call you? *

Date

Time

Phone

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