First Name

Last Name *

Phone *

Email *

Membership Hold Start Date *

I Agree To The Terms & Conditions* *

Please put my membership on hold for 30 days

Reason for Membership Hold* *

I understand that hold request must be submitted no than 7 business days before my forthcoming schedule refundable renewal payments

I understand that my non-refundable renewal payment will be processed if that request is submitted less than 7 business days before my renewal date

I understand that if I cancel my membership during the hold period, the 30-day notice require by my membership agreement is still applicable

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