Cancellation Form – Jake Campus Nutrition

Cancellation Request
Before submitting your cancellation request, we would like to confirm you are aware our prices have increased as of the 1st of January 2023, and your existing rate will not be available if you choose to sign up with us again
Name*
First Last
Account Email*
What program are you on?
- Lifestyle Program (fortnightly checkins)
- Performance Program (weekly checkins)
- VIP Program
- Challenge
Challenge Cancellation Request
We are unable to cancel any challenge memberships as this is a limited subscription
Have you reached your 12 week minimum term?
- Yes
- No
- Unsure
Have you reached your 16 week minimum term?
- Yes
- No
- Unsure
Have you reached your 20 week minimum term?
- Yes
- No
- Unsure
If you have not yet reached your minimum term requirement, you account will to set to cancel when your minimum term has been reached. Our team will inform you of this date when your cancellation request is processed.

Further comments:
Transformation Consent
I agree to my images and feedback being used for marketing purposes
JCN would like to use your images and feedback to motivate others to change their lifestyle and reach their goals with us
others
- I would like my face to be hidden
- I would like to be anonymous

Cancellation Request