Please put / keep my Y membership on hold
RequiredRequired Question(s)
This form is available for members who wish to put their membership on hold for the months of July and August. Hold requests for June are no longer accepted. 

By completing and submitting this form I acknowledge that I understand and agree to the following:

I understand that my dues will automatically resume at the end of my hold period at the full amount I was paying as of March 1, 2020. If I wish to terminate my membership at the end of the hold period, I understand that I need to contact the Y in writing at least 15 days prior to the end of my hold period. 

Billing cycles drafting on the 1st of the month will put your membership on hold through the last day of a month. Billing cycles drafting on the 15th of the month will put your membership on hold through the 14th of the next month. Billing cycles of semi-annual or annual will extend your membership by the number of months you were on hold.

You must complete this form by June 15 5:00 pm in order to stop your membership dues payment for your July billing cycle.  You may choose to be on hold for just July or both the July and August billing cycles. You must complete this form by July 15 5:00 pm in order to stop your membership dues payment for August billing cycle. 

 
Required 1.

Your first and last name:

 

50 characters left.
Required 2.

Your phone number (please double check that it's correct):

 

50 characters left.
Required 3.

We will email you a confirmation. Your email address (please double check that it's correct):

 

50 characters left.
Required 4.
Your automatic payment will resume the next month after your hold ends for the full membership amount amount plus sales tax. Billing cycles drafting on the 1st of the month will put your membership on hold through the last day of a month. Billing cycles drafting on the 15th of the month will put your membership on hold through the 14th of the next month. Billing cycles of semi-annual or annual will extend your membership by the number of months you were on hold.
This option is no longer available
Please keep my membership on hold through my July billing period with my dues to resume in August.
Please keep my membership on hold through my August billing period with my dues to resume in September.