Full Name *

Phone *

Email *

What date would you like to start your 14-day membership hold? *

This date must be at least 7 days from now (if today is Monday, the first valid date is next Monday). Your request will be AUTO-DENIED if you select a date that is not at least 7 days from today.

What day do you plan to return to AMP? *

What equipment do you have access to while you are on hold? (Ex. Hotel gym, bands, bodyweight, dumbbells up to 30lbs, etc) *

* Hold Request

I understand that I am requesting to put my membership on hold, and may be denied or auto-denied based on improper date selection/notice. If approved for membership hold, I understand that upon the expiration of the hold period selected my account will automatically reactivate and regular membership payments will resume.

Signature

Clear