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Membership Hold Request

  1. Primary Member Information
  2. Hold Request & Policy
  3. 2. Hold requests require a 15-day notice. A membership may be placed on hold for a maximum of three months each calendar year. DRAFTED MONTHLY: Hold begins and ends on the current draft date (1st or 15th of month). ANNUAL MEMBERSHIP: Hold begins and ends on the 1st of the month.
  4. Hold to be effective for (please check one):*
  5. Start Date (please check one)*
  6. Membership Type (Check all that apply)*
  7. Confirmation
  8. Acknowledgement Required: *
  9. Please type name to sign.
  10. Leave This Blank:

  11. This field is not part of the form submission.