FREEZE REQUEST FORM
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-- SELECT LOCATION --
Columbia
Hunt Valley
Owings Mills
Palm Beach Gardens
Rosedale / Baltimore
Sykesville
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1. You will receive an auto response email from the billing company. As long as you receive this email, the billing company has received your request.
Be sure to check your junk box for this email
. Please do not send multiple requests, if you received the auto response email.
2. Billing will process this request around your
NEXT
billing date.
3. All requests must include a fully completed and signed form along with all required documentation. You must meet the criteria, and all necessary documentation submitted, in order for your request to be processed.
4. Billing will send you an email regarding the status of your freeze request, once it has been processed.
Requested Freeze From: (Will match next billing date)
--SELECT MONTH--
January
February
March
April
May
June
July
August
September
October
November
December
Requested Freeze Length: (30 Day Increments)
-- SELECT FREEZE LENGTH --
1 Month
2 Months
3 Months
4 Months
5 Months
6 Months
Unknown
Special Request (medical or other w/ note attached)
Freeze Terms
Check To Confirm Agreement
1. This request must be received 5 days before your billing date
2. The club allows members to freeze their membership usage, dues, and/or fees for services for specific instances. Requests to freeze your account must be submitted at least 5 days before your next bill date and in 30 day increments.
3. There is a monthly fee of $20.00, pay: by EFT, with the exception of military deployment. Member must meet and be approved for one of the reasons below.
4. I understand by signing this form, billing will resume upon freeze end date. I also understand that if currently under a term contract, any amount of time my membership is frozen will be added to the end date of the contract and I will fulfill my contract agreement.
5. I understand by digitally signing this form, it is my responsibility to provide all required documentation to Ground Control. If required documentation is not provided, this request will not be processed.
6. Account must be in good standing with no outstanding dues or fees owed. In order to be eligible for a freeze all past due fees an charges must be paid in full to accept the freeze notice.
Reason For Requesting Account Freeze
Medical - Temporary disability (Must provide Physician Note to verify)
Military - For temporary relocation or Deployment (Must provide military orders to verify - No Freeze Fee)
Other - For maximum of 2 months
*If selecting other, please include explanation in box below.
Supporting Document Upload
Additional Information (Other):
Digital Signature
Date
SUBMIT
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