Hold Account Request Form

NAME:
EMAIL ADDRESS:
PHONE NUMBER:

Please suspend / hold my account for the following period:

Date to commence hold status:

Date to resume training:

The reason for requesting this hold is:
HolidayHealth / SurgeryFinancial DifficultyWork CommitmentsFamily CommitmentsOther

I understand that direct debits occur on Fridays. The payments will resume in advance on the Friday before I recommence my training.

I understand that I am required to provide at least 14 days notice to suspend my account.

Is there any additional information you would like to provide?