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Electronic Fund Transfer Cancellation Form

  1. EFT Membership Cancellation Form

    Jack E. Kirksey Recreation Center

    Call (734) 466-2297 with questions.

    1. I understand it takes up to 30 days to stop payment from the date of this cancellation.
    2. I authorize the City of Livonia to stop deduction from my check/savings account or credit card. 
    3. I understand I am obligated to pay for the remaining months of my first year of membership. 
  2. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
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