HOLD REQUEST FORM

HOLD REQUEST FORM
Name

First NameLast Name
Email
example@example.com

HOLD START DATE

DayMonthYear
2 digit day, 2 digit month, 4 digit year*PLEASE NOTE A MINIMUM OF 7 DAYS NOTICE IS REQUIRED FOR ALL HOLDS*
HOLD END DATE

DayMonthYear
2 digit day, 2 digit month, 4 digit year*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
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty: