Modo Yoga LA Membership Hold Request

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Be Awesome members can request 2 holds per calendar year on their membership. Each hold can be placed for a maximum of 90 days. Please provide the following information to request a membership hold. You will a receive a confirmation email upon processing. Freedom Memberships and 6 Month memberships cannot be held for any reason.(NOTE: Completing this form will not automatically hold your membership, but submits your request for processing.)

MEMBER FIRST NAME *

MEMBER LAST NAME *

MEMBER PHONE NUMBER *

MEMBER EMAIL ADDRESS *

HOLD START DATE *

YYYY

HOLD END DATE *

YYYY

REASON FOR HOLD REQUEST *

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