Cancellation - Centre for Physical Recreation & Sport

REQUEST TO CANCEL SPORTS CENTRE MEMBERSHIP
Centre for Physical Recreation and Sport, University Sports Centre

All fields marked * are mandatory.

Name * First
Last
Email *
Please use your 'ncl' e-mail address
Contact Phone Number *
Student or Staff Number (Nine characters as shown on your Smartcard) *
Membership Category * SILVER MEMBERSHIP - 3 YEAR PACKAGE SILVER 3 YEAR PACKAGE + 1 YEAR GOLD UPGRADE SILVER MEMBERSHIP - 1 YEAR GOLD MEMBERSHIP - 1 YEAR OTHER
Amount Paid *
Membership Application Method * Student Accommodation Application Online Membership System Reception - University Sports Centre
Reason for Membership Cancellation Request *
Once you have completed this section please click 'SUBMIT' at the bottom of the page. Thank you.
Data Protection Statement: This form will be used by Sports Centre Staff to assess your cancellation request. This information will be retained for 12 months.

Centre for Physical Recreation & Sport
Newcastle University, Newcastle upon Tyne
NE1 7RU, United Kingdom.
Email Webmaster