MEMBERSHIP SUSPENSION

SPC MUAY THAI

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MEMBERSHIP SUSPENSION REQUEST

To freeze your membership, you must complete and send this form 14 days before the holding period starts.

*Holds will not be processed if your membership account has a balance.

Name

Membership Type

Phone Number

Reason for Freezing your Membership

Start Date

End Date

Please Read

I understand that this form is a request to freeze my membership and acknowledge that it will NOT be processed if I have a past due balance of any kind.

Place Initials As Signature