HOLD REQUEST FORM

HOLD REQUEST FORM
Name*

First NameLast Name
Email*
example@example.com

HOLD START DATE*

DayMonthYear
*PLEASE NOTE A MINIMUM OF 7 DAYS NOTICE IS REQUIRED FOR ALL HOLDS*
HOLD END DATE*

DayMonthYear
*PLEASE NOTE YOU MUST HOLD FOR A MINIMUM OF 1 WEEK AND A MAXIMUM OF 4 WEEKS* HOLDS MUST BE IN 7-DAY INCREMENTS, IF THEY ARE NOT, YOU ARE AWARE THAT YOUR BILLING CYCLE (PAYMENT DAY) MAY CHANGE
REASON FOR HOLD*
PLEASE SELECT WHICH BEST DESCRIBES YOUR REASONING

BY SIGNING THIS AGREEMENT IT MEANS:

• I understand that hold requests must be submitted no less than 7 days before my hold period start date.

• I understand that my non-refundable renewal payment will be processed if this request is submitted less than 7 days before my hold period.

• I understand that my membership and non-refundable payments will resume automatically upon expiration of the hold period that I selected above.

• I understand that I cannot cancel my Membership During a Hold Period.

Please refer to your membership contract for Terms & Conditions on Hold Periods.
Signature

Clear
Date

MonthDayYear
Date
Should be Empty: