Membership Pause Request

AIT Tempe

Pauses allow 24 hours to process.

Full Name *

Phone Number *

Reason for Pause *

Start Date of Pause [Cannot enter past date] *

Length of Pausing *

7 Days

14 Days

21 Days

28 Days

IF YOU ARE UNCERTAIN OF YOUR RETURN DATE BECAUSE OF A MEDICAL ISSUE OR OTHERWISE, PLEASE SELECT 28 DAYS & EXPLAIN BELOW