Form Disabled
If you are the owner of this site, please contact UpLaunch support for assistance.
Membership Hold Request
First Name
Last Name
Email Address
Phone Number (if non-US phone number, please include country code)
Form Questions
Membership Hold Start Date
Membership Hold Duration? Please indicate 30,60, 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
No
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
No
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
No
I understand that my membership and non-refundable payments will resume automatically upon expiration of the hold period that I selected above.
Yes
No
Submit Form