Membership Pause (Hold) Request
Thank you for choosing Island Gym. Pausing your membership is an easy way freeze your membership without having to pay your regularly scheduled membership dues. It also protects your membership rate from any price increases. Please allow 15 calendar days to process this request. Island Gym is entitled to payment of your regularly scheduled membership dues during the 15-day processing period. Enjoy your time off. We hope to see you back soon!
Name
*
First Name
Last Name
Address
*
Street Address (Enter the Address on File When You Signed Up)
Apartment No.
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Island Gym Key Tag # or Agreement #
Email
*
Phone Number
*
Reason for Pausing Your Membership
*
Please Select
1. Extended Travel Plans
2. Temporary Residence Change
3. Military Obligation
4. Financial Reasons
5. Need a Break
How Long Do You Wish to Pause Your Membership?
*
1 Month
2 Months
3 Months
Choose the Date to Start Pausing Your Membership
*
-
Month
-
Day
Year
Choose the Date You Will Be Returning to the Gym
*
-
Month
-
Day
Year
End Dates Chosen Past 3 Months will be DENIED
Just to be clear, you are pausing your memebership, not cancelling?
*
Please Select
Yes
Special Notes or Instructions:
Submit
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