Membership Freeze Request
PLEASE NOTE: If you have a bill date scheduled in the next 10 days we are unable to stop that billing, your freeze will commence on the next billing cycle.
Name
*
First Name
Last Name
Email
*
example@example.com
Date of Birth
*
-
Month
-
Day
Year
Date
Home Club (Where you signed up)
*
Dewitt
Liverpool
Freeze Length
*
1 Month
2 Months
3 Months
Membership freezes are from bill date to bill date (your regularly scheduled monthly billing date). I understand that at the conclusion of my membership freeze my membership dues will resume on their regularly scheduled billing date per my original membership agreement. During the period of membership freeze I will not have access to the club’s facilities or programming until that time which my membership is no longer frozen, and this extends to any secondary members associated with my membership account.
*
I understand and accept.
I do not understand/accept.
Submit
Should be Empty: