Membership Freeze Request
Member First Name
*
Member Last Name
*
Best Phone Number to Reach You
*
Email
*
Date of birth
*
Select Club Location
*
Membership Card # (under barcode on your membership card)
*
Preferred form of communication
*
How many months would you like to freeze?
*
Expected Date for Return
*
How long have you been a member with us?
*
Brief description on why a freeze is being requested
*
Freeze Terms and Conditions
I acknowledge that I have read and accept the terms and conditions of Body Xchange.
Request Freeze
