What is your first name? *

What is your last name? *

Are you sure you want to cancel your program? *

Who is your Ledbetter Coach? *

How would you rate our VIP Training & Nutrition Services? *

What can we do to continue and improve our VIP Training & Nutrition Services? *

Please be honest with us, we rely on your feedback. Thank you!
I acknowledge that I agreed to give Ledbetter a 30 day notice before cancelling my VIP program *

In your release of liability form, you acknowledged and accepted the responsibility to give Ledbetter 30 days noice before cancelling your VIP program.
Your Electronic Signature Below: {{answer_47100209}} {{answer_47100216}} *

This is your signature that you agreed to our 30-Day Cancellation Notification.
Today's Date: MM/DD/YYYY *

Thank you {{answer_47100209}} for completing your VIP Program Cancellation Form and you'll hear from us within 1-2 business days.