Hot Yoga Plus • Autopay Membership TEMPORARY FREEZE FORM
Once you click the "Submit" button, your entry will be timestamped. Membership Suspensions are processed, and confirmed via email on the first business day after the 20th. All submissions entered on or before the 20th will be effective for the next month.

To CANCEL your membership, please click the back button and click the CANCEL MEMBERSHIP button instead.

First Name *
Your answer
Last Name *
Your answer
Billing Address *
Your answer
Email address *
Your answer
Phone Number *
Your answer
This Freeze applies to *
Family Autopay Membership Details (if applicable): If you wish to freeze part or all of a Family Autopay Membership, please give details below. (For example: "I would like to continue my autopay membership and freeze my child's portion of membership")
Your answer
Date you wish to begin membership suspension. (Reminder: Suspensions are for 1 to 3 months and begin on the first date of your billing cycle, 1st or 15th monthly.) *
MM
/
DD
/
YYYY
What date do you wish to reactivate your membership? *
MM
/
DD
/
YYYY
Autopay membership requires no minimum commitment. Autopay membership suspensions must be submitted on or before the 20th of the month prior to your next billing date. Cancellations submitted after the 20th will be effected after one billing cycle. By clicking below I acknowledge that I am temporarily suspending my Monthly Autopay Membership in agreement with the terms stated above. I understand that a $10 suspension fee will be charged monthly on my billing date in lieu of my regular full monthly fee. *
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms