Nutrition Request Membership Hold (Copy)

request nutrition membership pause

This is NOT a termination request.

Nutrition coaching pause requests must be submitted no less than 3 business days before your next membership payment. All membership payments are non-refundable. Upon expiration of the paused period that you select below, your account will automatically reactivate and regular membership payments will resume.

Name

First Name

Last Name

Email

Phone

(###)

###

####

Membership Pause Duration

Reason for membership pause

Membership pause start date

MM

DD

YYYY

Check the boxes below

I understand that pause requests must be submitted no less than 3 business days before my next scheduled non-refundable payment.

I understand that my membership and payments will resume automatically upon expiration of the hold period that I selected above.

I understand that if I decide to cancel my membership during my pause, the normal 4 week cancellation policy as per my membership agreement will take effect