By signing below, I also acknowledge and understand that this form must be completed at least 15 days prior to the desired start date of my hold and that failure to do so will result in the next payment being processed as scheduled. All credits will be applied to the end of the agreement.
I understand that this will extend any term end dates by the period of time selected above. I also understand that billing will still occur on the 1st and will be adjusted accordingly. I authorize you to charge the account on file with you.