Membership Hold Form
Please complete this form and allow five business days (Monday thru Friday) for the hold to be placed on your membership. There is a $15 processing fee to place memberships on hold. It takes time for our staff to process. Please provide a start AND end date. Memberships can be placed on hold for minimum of 30 days and maximum of 90 days.  
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First Name *
Last Name *
Email Address *
Start date of suspension *
MM
/
DD
/
JJJJ
End date of suspension
*
MM
/
DD
/
JJJJ
Reason for suspension *
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Dit formulier is gemaakt in Balance Yoga + Pilates. Misbruik rapporteren