Membership Change Form

We value your membership, thank you for being part of our community at The Spot!

MEMBER NAME(S)
Please list the member or members requesting the change.

Which gym is your home gym? If you don't know, just take your best guess. *

Name*

First Name

Last Name

Date Of Birth*

Month

Day

Year

Please enter the number on your membership card. (optional)

Membership Number

For family memberships, please include all impacted family members.

Include Additional Family Member

Contact Information

Please let us know how to contact you in case we have questions.

Email Address*
Phone Number *

Change Request

Choose all that apply...

	Update contact information
	Update payment information on account
	Freeze membership
	Un-freeze membership
	Cancel/terminate recurring monthly membership
	Other request / additional contribution - please let us know your wish below.

Update Contact Information

Please provide new contact information for your account.

Email Address*
Street Address*

City*
State/Province*
Zip/Postal Code*
Country
Mobile Phone
Home Phone
Work Phone

Update Payment Information On Account

Please let us know the new payment details for your account.

New Credit Card Details

I hereby authorize debit entries to the Credit Card named above and/or adjustments for any debit entries made in error. I hereby authorize the financial institution named above to credit and/or debit the same to such account. This authorization is to remain in full force and effect until written notification is provided from me of its termination.

I hereby authorize a recurring ACH/electronic debit from the bank account indicated in this web form for the noted amount on the schedule indicated. I understand that this authorization will remain in effect until I cancel it in writing, and I agree to notify the business in writing of any changes in my account information or termination of this authorization at least 15 days prior to the next billing date.

Membership Freeze Details

NOTE: Freezes usually are $8 per month unless otherwise notified of an injury.

What type of membership are you freezing?*

Freeze Start Date *
Freeze End Date *
Reason for Freeze *

Membership Cancellation/Termination - Recurring Monthly Membership

NOTE: Please let us know the date on which you want the membership cancellation to start. Your termination will occur prior to being billed for the month.

Cancel Date *
Reason for Cancellation *

Membership Un-Freeze

Please let us know the details of your un-freeze/thaw request. Be aware a prorated amount for the remainder of the billing month will be placed on your account.

Un-Freeze Date *

Please let us know how we could serve you better.

We deeply value your feedback, for any request.

Thank you for completing your change request online.

Please complete the required fields shown in RED above.

Please enter a new credit card or banking details above.

Please select at least one change request type.

Please complete the robot test.

Routing number is invalid.

Account numbers do not match.

Please check the box indicating you agree to the payment change requirements.

Submit Change Request

Thank you. Your request is being processed.