Cancellation Application Member's Full Name Member's Email Address Cancellation Date Reason For Cancellation -- -- I understand that my draft will automatically restart after my hold period. * I understand that I may hold my account from 1-30 days. * I accept that a $20 hold fee will apply. * (This will be void if you submit a Doctor’s note.) * I understand that my hold cannot be applied retroactively and I must allow at least 5 days for the hold to be applied to my account. * I understand that if I cancel during the hold period, I must submit a separate cancellation form and it will be subject to the Cancellation Policy per my Membership Agreement * * 15 + 1 = Submit Member’s Full Name * Member’s E-Mail * (required) Cancellation Date * Reason for Cancel * I understand that my draft will automatically restart after my hold period. * I understand that I may hold my account from 1-30 days. * I accept that a $20 hold fee will apply. * (This will be void if you submit a Doctor’s note.) * I understand that my hold cannot be applied retroactively and I must allow at least 5 days for the hold to be applied to my account. * I understand that if I cancel during the hold period, I must submit a separate cancellation form and it will be subject to the Cancellation Policy per my Membership Agreement * * Reason for Hold * [recaptcha]
