Suspension Request | Nueng Muay Thai

Nueng Muay Thai Suspension Request

Full Name (on your membership)

Date of Birth

Phone

If you are submitting this request for multiple people, please list their names below. Note: You can only request a suspension for memberships that you have authority for

All Nueng Muay Thai Memberships are allow to suspension membership for a minimum period of 2 weeks and up to the maximum period of 8 weeks per 12 months outlines in your membership agreement.

Medical suspension is allowed with written doctors certificate

This must be given with at least 7 days' written notice.

When a suspension request is approved, the member will not be charged during the hold period, If you are in a contract term the suspended period is added to the end of your contract term for fulfilment of contract.

Suspension start date

Suspension end date

Suspension reason

Acknowledge

I understand that throughout my suspension date I can not access the gym, but that I can contact Nueng Muay Thai anytime to lift my suspension, If my suspension dates are longer than 8 weeks permitted, Nueng Muay Thai will only grant the first 8 weeks requested unless by prior arrangement.

Yes, I acknowledge and agree by tick the box below to confirm that you understand the following: By submitting this form I am acknowledging and agreeing to the terms above, and that I am clear on the terms of this request.

Signature

File upload