The GYM - MONTVALE

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Member Freeze Form


*First Name:
*Last Name:
*Phone Number:
Member #:
* Email:
Please select location that your membership pertains to:
Terms and conditions of Membership Freezes: Membership Freeze: In order to freeze an annual membership, the member is obligated to complete this form and provide THE GYM, with a current valid Physician’s note stating a freeze of membership for medical purposes is necessary. A freeze is effective upon the next billing date for one month or more: maximum of six (6) months. The member acknowledges that billing is temporarily postponed during the length of the freeze only. An annual member acknowledges that s/he is responsible for the remainder of the membership fee under this agreement regardless of the length of freeze. In addition, an annual member on freeze for six (6) months or more must provide THE GYM with a current valid Physician’s note upon the expiration date on the six (6) months period. Failure to do so will result in an automatic reinstatement of your monthly membership dues for the remainder of your contract. Freezes cannot be initiated retroactively. 15 days notice prior to billing date is required for all freezes. DISCLAIMER Completion and submission of this form via website WILL NOT effectuate a freeze or cancellation of your membership. Further, the terms and conditions of your Membership Agreement, including but not limited to a freeze and cancellation, remain in full force and effect.
Freeze Date Request:
Anticipated Return Date (If Freeze):
*Reason (Please be specific):
I have read and agree to THE GYM's Terms and Conditions of Membership Changes.

THE GYM of MONTVALE
2 CHESTNUT RIDGE ROAD
MONTVALE, NJ 07645
Phone: 201-802-9399
Fax: 201-802-9398

Hours of Operation:
Mon - Thurs: 5am to 10pm
Friday: 5am to 19pm
Saturday: 6am to 5pm
Sunday: 7am to 4pm