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I have a question about:*

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Area of Concern – SalesForce Options

Continue Payments

Yes
No

Refund Method

Refund as donation
Credit on account
Refund money

It’s times like this that your support means more to us than ever. Together we can work to repair and restore our community now, so that when we reach the end of this crisis, which we will, the JCCSF emerges renewed and ready to serve our community. If you are able, please choose YES to continue payments as a donation.

Subject*

Please describe your request or problem here with as much detail as possible:*

Hold/Freeze

You may request hold status for a minimum of one (1) month and a maximum of six (6) months per twelve (12) month period. All outstanding dues and charges must be paid in full before the account may be placed on hold. If you would like to resume your membership earlier than you initially stated, please select Return from Hold on this form. A $25 hold fee for individual memberships and $50 hold fee for family memberships will be charged at the beginning of each month.

Hold Requests will be applied to all members on a Family Membership. There are no partial holds.

Hold Start*

Hold End*

Reason for Hold*

If this is for a family membership, please list members and any additional information.

Consent*

By checking this box, I understand my regular monthly dues will resume without further notice at the end of the hold period indicated. Individual memberships will be charged a monthly $25 hold fee; Family memberships will be charged a monthly $50 hold fee.

Please note: You may use the fitness facilities during your hold status by paying a day-use guest fee. Not valid for medical holds.

Cancel

Cancellations requests received by the JCCSF between the first calendar day of the month and the 25th of the month will become effective 1 month after the date of receipt. Resignation notices received on or after the 26th of the month will become effective on the last day of the following month.

Please keep in mind that you may temporarily suspend your membership for up to six months in a twelve month period. For this option, please change your request to “Hold.”

I'm cancelling for:*

Cancel Reason*

Cancellation Reason*

New Address

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Are you interested in an Online Only Membership?

Yes
No

Would you like to apply for Financial Assistance?

Yes
No

Contact our Support Team to discuss financial assistance options.

Please keep in mind that you may temporarily suspend your membership for up to six months in a twelve month period. For this option, please change your request to “Hold.“

If you would like to learn about ways to use your membership, such as using your complimentary training session, contact our Support Team.

If you are resigning your membership due to a medical condition, please keep in mind you can temporarily suspend your membership for up to six months within a twelve month period with no additional fee. For this option, please change your request to “Membership Hold Status”.

Doctor notice required to waive 30 day cancel policy.

Other Club

Additional Information

Consent

By checking this box, I understand…

All resignation requests received by JCCSF between the first calendar day of the month and the 25th calendar day of the month will become effective 30 days after the date of receipt. The billing for the final calendar month will be prorated to exclude any days falling outside of the 30 day period. Resignation notices received by JCCSF on or after the 26th of the month will become effective on the last day of the following month and will not be prorated.

Until you receive verification that your cancellation has been processed, you are an active member.

I agree that by submitting this form I have read and agree to the resignation terms. Dues will continue to accrue until the resignation effective date and balances not paid in full will be subject to further collection efforts.

Return from Hold

A prorated portion of your regular membership dues will be charged when reactivating early.

Return from Hold requests will be applied to all members on a Family Membership.

Requested Return from Hold Date*

If this is for a family membership, please list members and any additional information.

255

Consent

By checking this box, I understand my complimentary hold will end on November 1, 2021 without further notice unless I submit a Return from Hold form to reactivate my account(s) or a Cancel form to cancel my membership(s).

A prorated portion of your regular membership dues will be charged when reactivating early.

Get in Touch

Hold/Freeze

Cancel

Return from Hold

General Contact Information