Member Hold Form
THIS IS NOT A TERMINATION REQUEST



Name *
Reason for your hold *
You have the option to put your automatically recurring monthly membership on hold for any reason (Pre-paid memberships expire based on the specified pre-paid period regardless of usage and cannot be put on hold). Which time frame do you need for the hold? *
Membership hold requests must be submitted no less than two business day before your forthcoming scheduled renewal date. Membership hold requests received later cannot be processed until after the forthcoming scheduled renewal payment. All membership payments are non-refundable. Please enter todays date. *
MM
/
DD
/
YYYY
Membership hold requests are limited to one time per calendar year in 4 week increments for up to 3 consecutive 4 week periods (i.e. 12 weeks maximum). Upon expiration of the hold period that you select, your account will automatically reactivate and regular membership payments will resume. If you chose to cancel your membership during the hold period, the standard 30-day written cancellation notice requirement stated in your membership agreement is applicable. If you choose to reactivate your membership after it is cancelled, membership rates in effect at the time of reactivation will be applicable (membership rates are subject to change). Check below that you agree. *
Required
There is a $30 per month fee for Membership Holds. Check below that you agree. *
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy