"*" indicates required fields The HOLD rate is $20 a month up to 6 months. Dues will automatically return to original rate upon date specified above. Dates are effective on the 1st of each month.Date* MM slash DD slash YYYY Member Name*Phone*Email* Date HOLD rate to begin* MM slash DD slash YYYY (We cannot retroactively put a hold on an account if you have already billed for the current month) Monthly Rate: $20.00 a month/Hold not to exceed 6 months.Date return to regular rate* MM slash DD slash YYYY Regular Rate*Signature*CAPTCHA Δ
