Profectus Performance
Membership Freeze Request
Name
First
Last
Email
Membership Hold Start Date:
*
Membership Hold Duration:
*
Select One
30 Days
60 Days
90 Days
Reason for Membership Hold:
I understand that hold requests must be submitted no less than 5 business days before my forthcoming scheduled non-refundable renewal payment.:
*
Yes
I understand that my non-refundable renewal payment will be processed if this request is submitted less than 5 business days before my renewal date.:
*
Yes
I understand that if I cancel my membership during the hold period, the 30-day notice required by my membership agreement is still applicable.:
*
Yes
I understand that my membership and non-refundable payments will resume automatically upon expiration of the hold period that I selected above.:
Yes
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