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Membership Freeze/Cancellation Request
First Name *
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Last Name *
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I would like to...
Desired freeze/cancellation start date:
(For freezing only) Please freeze my membership for...
Reason for freezing/canceling?
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Terms & Conditions
Please note that membership pause and cancellation requests are subject to additional fees as outlined in the membership agreement you signed upon joining. (

Empire Tri Club reserves the right to charge your card for all applicable fees pertaining to your request. Click here for more information about our Freeze / Cancellation policy ( If you have a doctor’s note, documentation to support extended travel, or are moving more than 25 miles outside of NYC, please email

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