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Membership Name Change or Addition Submission

Please note that if you allready have 5 household members on the account an additional $20 per new household member will be required.

If you wish to remove a name allready on your membership for a new household member, please submit without payment and it will be reveiwed by our membership coordinator.

This form must be submitted at least 2 business days before the use of the membership benefit in order to make changes.

Contact Information

Primary Name on Membership

First Name

Last Name

Email for Membership

Verify Email

Name(s) of household members to be added on Membership

Name(s) to replaced from my membership

If you wish to add more HOUSEHOLD members to your membership please submit the names and the same quantity at $20 per person.

Number of household members to be added	Quantity
$20 - Additional Household member

New name(s) to add to Membership

Number of household members to be added type their names in here please.