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Spokane YMCA Membership Change Form
SPOKANE YMCA Membership Change Form
Choose Your Home Branch
*
Central YMCA
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Please complete this form if you wish to Activate or Deactivate your Spokane Branch YMCA Membership. Do not use this form if you are a Golds Legacy or Payroll Deduct Member, you will need to call us at 509 777 9622. For Golds Legacy ext. 5430. For Payroll Deduct ext. 4070.
Primary Member's Date of Birth
*
Primary Member First Name
*
Primary Member Last Name
*
Email
*
Phone
*
Address/City/State/Zip
*
Membership Change Options:
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Choose an option:
Please RE-ACTIVATE my membership! I am ready to come back to the Y. I understand that my membership dues will be prorated and charged to my account depending on the date of reactivation.
I would like to speak with a Member Services Representative regarding a reduced rate due to financial hardship.
This is my written request to place my Y membership on hold. A Member Services Representative will contact me to confirm hold dates and process the $30.00 fee.
This is my written request to cancel my Y Membership. I understand a Member Services Representative will contact me within 72 hours by phone or email to complete this request.
▪️ A Membership Hold is limited to 4 months and has a one-time fee of $30.00. ▪️ A Membership Cancellation requires a 30-day written notice.
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