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Spokane YMCA Membership Change Form
SPOKANE YMCA Membership Change Form
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.
Primary Member's Date of Birth
*
Primary Member First Name
*
Primary Member Last Name
*
Email
*
Phone
*
Address/City/State/Zip
*
Membership Change Options:
*
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 Membership Director regarding a reduced rate due to financial hardship.
This is my written request to cancel my YMCA membership. I understand that my home branch Membership Director will contact me within 72 hours by phone or email to complete this request.
Message
If you are human, leave this field blank.
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