"*" indicates required fields Δ 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* Member Name*Phone*Email* Date HOLD rate to begin* (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* Regular Rate*Signature*Your NameYour NameYour NameYour NameCAPTCHA
