Membership Pause Request Form
7 Day Notice Required!
First Name
*
Last Name
*
Phone
*
Email
*
Select The Option Below That Best Describes Your Reason For Hold:
Traveling
Maternity
Military
Injury
Other
Membership Hold Request Duration
4 Weeks
5 Weeks
6 Weeks
Pause Date Requested
Resume Date Requested
Check The Boxes Below
*
I understand that if I decide to reactivate my membership in the future (we hope you do) membership rates in effect at time of reactivation will be applicable as memberships rates are subject to change.
I understand that this will serve as my 4 week written cancellation notice as required by the membership agreement.
I understand that my membership will be canceled 4 weeks from the submission form below. (Note that if you have a scheduled renewal payment within this 4 week period, the payment will be processed as scheduled. All payments are non-refundable.
I understand that cancellation of my membership prior to the expiration of any specified commitment period requires an early termination fee of half that is remaining on the contract term.
Captcha
Submit My Pause Request
PushPress Grow