Membership Freeze Form

Freeze Start Date

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Freeze End Date

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YYYY

Short text

Name

Email

Phone

Reason for freeze:

Move

School

Too far

Other:

I agree to freeze my membership and my add-on's by signing this form.

I agree

I understand there is a $10 freeze fee that will be charged on my regular bill date each month until my account is unfrozen.

I understand

Signature

Verification

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