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English (US)
Membership Suspension Form
Melbourne University Sport
Registered Name
*
First Name
Last Name
Student/Staff ID
*
Type N/A if not applicable
Membership ID
*
Please note, this is NOT Staff/Student ID. Please call 8344 5405 if unsure of membership ID.
Email
*
example@example.com
Date of Birth
*
-
Month
-
Day
Year
Date
Phone Number
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Terms and Conditions
1.5 Suspension of Membership Direct debit memberships may be suspended in blocks of 2 weeks, up to a maximum of 16 weeks per calendar year (free of charge), by completing a Membership Amendment form. This request must be submitted 7 days minimum prior to the commencement date of suspension. After the first 16 weeks, a suspension will be charged at $5 per week. All medical suspensions are free of charge upon presentation of a valid medical certificate that covers all requested dates of suspension. Suspensions will not be backdated. To suspend your membership during the MU Sport Christmas/New Year closure, you must request MU Sport to suspend your membership.
Click below to show understanding of Suspension T&Cs.
*
I understand the Terms and Conditions.
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Suspension Information
Suspension Start Date
*
-
Day
-
Month
Year
Date
Status
DEFER
CURR
Suspension Length (weeks)
*
2
4
6
8
10
12
14
16
Days Length
Suspension End Date
-
Day
-
Month
Year
Date
Subscription End Date
-
Day
-
Month
Year
Date
Reason for Suspension
*
Submit
Should be Empty: