Bootcamp Membership Suspension Form

Primary VIP Fitness Location

Bloomfield
Clarkston
Commerce
Rochester
Sterling
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I wish to suspend my membership with VIP FITNESS LLC.

I understand that upon the VIP FITNESS LLC’ receipt of this form at membership@myvipfitness.com, my membership account will be suspended for a minimum of 30-days.

I agree that I am responsible for the suspension fee of $35 to complete this transaction.

I further acknowledge that if I am in a committed membership for a predetermined period of time i.e. 3-months, 6-months, 12-months, the monthly membership fee will still be processed, however the membership will remain on hold until my membership has been reactivated and documented by an employee of VIP Fitness. At that time the membership will reactivate for the duration of time suspended.

During my account suspension I will not be eligible to use the facilities until my account has been reactivated and documented by an employee of VIP Fitness.

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Billing Address Click here if same as primary address

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I, [ First Name ] [ Last Name ], hereby authorize VIP FITNESS, VIP FITNESS BLOOMFIELD, VIP FITNESS COMMERCE, ROCHESTER HILLS TRANSFORMATION CENTER, VIP FITNESS STERLING HEIGHTS to charge my credit card or debit card the suspension fee of $35.

ANY AND ALL PAYMENTS DUE TO VIP FITNESS, VIP FITNESS BLOOMFIELD, VIP FITNESS COMMERCE, ROCHESTER HILLS TRANSFORMATION CENTER, VIP FITNESS STERLING HEIGHTS AS INDICATED ABOVE. I FURTHER AUTHORIZE MY CREDIT CARD COMPANY OR BANK TO MAKE PAYMENTS(S) TO VIP FITNESS LLC, VIP FITNESS BLOOMFIELD, VIP FITNESS COMMERCE, ROCHESTER HILLS TRANSFORMATION CENTER, VIP FITNESS STERLING HEIGHTS BY THE METHOD(S) INDICATED ABOVE AND TO POST IT TO MY ACCOUNT.

Reason for Suspension

Health related
Financial situation
Travel
Other
If Other, please specifytextoptionalno save

Date: 15.11.2019

Time: 12:35 AM

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