Request edit access
Membership Hold Request
This place won't be the same without you!
  1. Membership hold requests must be submitted no later than 2 weeks prior to the first day of the month.
  2. Each individual member is entitled put their membership on hold, in one calendar month increments for up to three calendar months per calendar year.
  3. Each freeze request will incur a $25.00 fee.
  4. Your membership will not be billed during the month that it is on hold.
  5. Billing will resume automatically upon the end of the hold.
  6. Your current membership agreement will be extended by the number of months that were put on hold.
  7. This is not a termination agreement. It's a pause in your membership. If you need to cancel your membership, please submit this form.
Sign in to Google to save your progress. Learn more
Email *
Name (First/Last) *
Reason for hold *
Required
Anything else you'd like to let us know?
Hold start date *
MM
/
DD
/
YYYY
Fees *
I understand I am submitting my 14-day notice of cancellation, as per the membership agreement. I understand I will be charged for any scheduled charges inside this 14-day period before my membership deactivates.
Required
Frequency *
I understand that I may put my membership on hold for up to three calendar months per calendar year
Required
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms