MEMBERSHIP CHANGE REQUEST
This form is to be used only during October or April
First Name:
*
Last Name
*
Phone
Email
*
Spouses' Name
My family intends to:
Membership Plans
*
Resign our family's Active Membership
Transfer from Active to Senior Membership (permitted after 10+ years as Active Members, 1 spouse 55+ years old, no children at home under 19)
If resigning, what are the reasons?
*
