Membership Hold — William Street Gym

Name *

Name

First Name

Last Name

Email Address *

As appears on your Mindbody Account

Suspension Start Date *

Suspension Start Date

Must be 2 business days from current date

YYYY

Length of Suspension *

In full weeks

Terms *

I understand that my membership will resume at the completion of the suspension period as requested above and that in the case of Direct Debit memberships, the schedule of debits from my chosen method will resume. I understand that I require a minimum of two business days notice before the start of the suspension period. I understand that any regular charges (Direct Debits) processed as part of your regular Direct Debit agreement after the completion of the suspension period are non-refundable.

I Agree