Membership Cancellation Form

Membership Cancellation Form

Complete this form to request membership cancellation and understand the process.
Please complete this form to help us process your cancellation request.

A few items to note:
- Cancellations & Holds require all members to fill out this form.
- Hold Status is $75 + tax per month and secures your life time entry fee.
- Full membership privileges are retained until the termination date or Hold Status begins.
- Memberships cannot be cancelled until any outstanding balance is paid in full.
Please contact us with any questions at fbcnj@freedomboatclub.com or (732) 553-4203.
Cancellation / Hold Request Date

MonthDayYear
Date
Member Name

First NameLast Name
Email
example@example.com
Phone
Please enter a valid phone number.Format: (000) 000-0000.
Cancellation / Hold Reason

Other
What is your reason for cancelling your membership?
How satisfied were you with your Freedom Boat Club membership?

Other
Member Signature
Signature
Should be Empty: