Litehouse YMCA membership Change Form

LITEHOUSE YMCA Membership Change Form

Home Branch

Please complete this form if you wish to have your LITEHOUSE Y Membership put on hold or cancelled. Do not use this form if you are a SWAC Legacy or Payroll Deduct Member, you will need to call us at 208 263 663

Primary Member's Date of Birth *

Primary Member First Name *

Primary Member Last Name *

Email *

Phone *

Address/City/State/Zip *

Membership Hold Options: *

Membership HOLDS can be reactivated at any time by contacting the YMCA. All HOLDS will automatically be reactivated on Nov 1, 2020.

Message

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YMCA of the Inland Northwest

YMCA OF THE INLAND NORTHWEST

Litehouse YMCA membership Change Form