Request for Documentation in Alternative Format

3752B4 Accessibility Standards_0482-9 studio policy

Merrithew Health & Fitness is committed to providing information in the format that meets you needs. If you need information in an alternate format, please use this form and let us know what format will work for you. Alternatively, call 416-482-4050 ext.257 and make your request over the telephone.

You may also download this form here in PDF version.

First Name:

Last Name:

Street Address:

City/Town:

Postal Code:

Telephone Number:

Numbers only, example: 1231231234

Fax Number (optional):

Numbers only, example 1231231234

Email Address:

Name of Document Required

For multiple, documents, please enter each document on a new line.

Additional Description of Document/Comments (optional):

Format Requested:

Date Information is Required:

Month

Day

Year