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Form must be submitted at least 5 business days before next draft date for changes to be effective for that draft date.
MEMBER NAME: EMAIL: KEYTAG #:
HOLD START DATE: HOLD END DATE:
Per BRICK policy, all members have the option to put their membership on hold one (1) time per calendar year for up to three (3) consecutive months, with a minimum of one (1) month, at no charge, for any reason. Upon expiration of Hold Date above, your account will automatically become active and payments shall resume. Should you elect to cancel during the Hold Period, you will be subject to the 30-day Cancellation Policy per your Membership Agreement.
Reason for hold:
By submitting this form I agree to abide by the following guidelines regarding my request to place my membership on hold:
I understand that my draft will automatically restart after my hold period. I understand that Holds for less than one (1) month are not available. I understand that if I cancel during the Hold Period, it will be subject to the 30-day Cancellation Policy per my Membership Agreement.