Freeze Request Form

Freeze Request
Name*

First NameLast Name
E-mail*
Telephone Number*

Area CodePhone Number
Freeze Start Date*

MonthDayYear
1 Month
Reason*
Additional Comments
Yes I agree
Yes I agree
Terms

1) Account Freeze is a courtesy, and in no way effects/negates the terms of the original membership agreement, other than as stated below.
2) Account must be in good standing before freeze can take effect.
3) Account will automatically reactivate after freeze period expires.
4) If Membership Type is "Annual", any time frozen will be added to original contract term.
Yes I agree
Should be Empty: