Membership Hold Request

This form must be completed to put your OsteoStrong membership on hold

1. First Name *

2. Last Name *

3. Phone *

4. Email *

5. Let's Review Our Membership Hold Policy

a. You can place your membership on hold for up to 3 months. We do not offer holds or prorated billing for partial months. *

I agree

b. Upon completion of the hold period, your membership will automatically become active and normal automatic billing for your membership will resume. *

I agree

c. Holds need to be submitted at least 3 days prior to your normal billing of the starting month of your hold. For example, if your hold begins in October, you'll need to submit this hold form at least 3 days prior to your October billing date. Holds cannot be applied retroactively. *

I agree

d. If you wish to cancel your membership at any point during or after a hold, our 30 day cancellation policy still applies. This means you will be billed for your final month after your cancellation notice has been submitted in writing. Your membership will be active for one month after your final billing, and you will retain all of the benefits of being a member during this time. *

I agree

e. OsteoStrong requires a hold fee to reserve your membership. I understand while I'm on hold, my account will be automatically billed $10 per month on the normal monthly billing date. *

I agree

6. What is the reason you want to go on hold? *

7. How many months would you like to put your membership on hold? *

1 Month

2 Months

3 Months (maximum)

8. What is the Start Date of Your Hold? *

9. What is your return date from your hold? (maximum of 3 months from the start of your hold) *

10. Do you have any other feedback or information we should be aware of?This question is required.*

We Miss You Already! Come Back Soon.

Member Signature *

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