I was provided and agreed to the Global Terms and Conditions of Membership at the time I purchased my membership on .

I was informed at the time of purchase that if this form is received within 3 days of my membership purchase/renewal date, I will receive a full refund.

I was informed at the time of purchase that if this form is received after 3 days of my membership purchase/renewal date, I will NOT receive a refund. However, I may continue to enjoy membership privileges until my current membership term expires on . After that date, my membership will not renew.