Prorate Freeze: Used for Monthly Billed Memberships and will prorate dues based on date range selection.

Time Freeze: Used for Paid in Full Memberships to extend expiration based on freeze date range selection. No fee is added for a time freeze on paid in full memberships.

I am aware that a “Prorate Freeze" will prorate my dues based on my selected freeze begin and freeze end date. A $5.00 monthly freeze fee will be charged for any non-prorated bill cycle during the freeze period. This excludes Annual Fee(s), of which the amount will be debited according to schedule should it fall within the requested freeze period. Your membership keycard will be deactivated during freeze period. Upon the FREEZE END Date, shown above, your membership will no longer be in a FREEZE status and will continue according to your agreement term obligation, which must be paid in full. You also understand that if you request to Unfreeze early and wish to begin using the club prior to the above FREEZE END Date, you may be required to pay a pro-rated dues payment for club access. You understand that this is only a request form and that your account must be in good standing as determined by management, with no past due balances owed.

*** An updated invoice schedule will be emailed as confirmation that the freeze request was received and completed.

Prorate Freeze: Used for Monthly Billed Memberships and will prorate dues based on date range selection.

Time Freeze: Used for Paid in Full Memberships to extend expiration based on freeze date range selection. No fee is added for a time freeze on paid in full memberships.

I am aware that a “Prorate Freeze" will prorate my dues based on my selected freeze begin and freeze end date. A $5.00 monthly freeze fee will be charged for any non-prorated bill cycle during the freeze period. This excludes Annual Fee(s), of which the amount will be debited according to schedule should it fall within the requested freeze period. Your membership keycard will be deactivated during freeze period. Upon the FREEZE END Date, shown above, your membership will no longer be in a FREEZE status and will continue according to your agreement term obligation, which must be paid in full. You also understand that if you request to Unfreeze early and wish to begin using the club prior to the above FREEZE END Date, you may be required to pay a pro-rated dues payment for club access. You understand that this is only a request form and that your account must be in good standing as determined by management, with no past due balances owed.

*** An updated invoice schedule will be emailed as confirmation that the freeze request was received and completed.

Thank you for being a valued member. We are sorry you wish to stop your membership. Please note, all monthly dues will continue for 30 days, after which, your Membership will be Cancelled provided all requirements to cancel have been met. Members are required to make all payments that are due within these 30 days. All accounts must have a zero dollar past due balance for a cancellation to be processed. Members must fulfill all monthly commitments established at the time of joining before membership cancellation will be processed.

Cancellation Policy: All cancellations require a 30-day notice. Member may only cancel within the initial term for two reasons: Medical (Dr.’s note required) or moving purposes. Member may cancel membership if residence is permanently moved more than 35 miles from the nearest facility location. Member must provide official written documentation of change of address. Important Notice: A $40 cancellation fee will apply to memberships cancelled within the initial term. The Member may cancel the Agreement and receive a refund if Club goes out of business, moves its facilities more than 10 driving miles from 2221 East Ridge Center, Eau Claire, WI 54701 or 2405 Folsom Street, Eau Claire, WI 54701 or fails to provide within 30 days a facility of equal quality at no additional cost to the Member. The Club shall not be deemed out of business when temporarily closed for repair and renovation of the premises, for not more than 14 consecutive days, and not more than 2 periods of seven consecutive days in any calendar year.

Submission of this form is a request to cancel which you will receive an email copy of this submission. Once confirmation of terms and conditions are met we will process the cancellation and sent a confirmation email of completion.

*** This is a Member Change Request and is not final until all documentation is provided, and confirmation has been sent from Highland Fitness.