we are sorry to see you go…

* Membership Cancellations require 30 days notice

* Cancellations are for month-to-month contracts only and can only be terminated after 3 months of recurring payments

Visit Shakti @ Home to continue practice with us while you’re away!

Name *
What best describes your reason for cancelling? *
Check all that apply
How well were you supported by the Shakti Team? *
Is there anything else you'd like for us to know?

* By clicking submit, I recognize that my membership will be canceled as indicated above.

* By clicking submit, I recognize that my non-refundable auto-pay is subject to be charged if this form is submitted less than 30 days before my renewal date.