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• Home Club Select OneBondi JunctionBligh StreetPark Street
• First Name*
• Surname*
• Membership Tag No*
• Contact phone no.*
• Email Address*
• Freeze From*12345678910111213141516171819202122232425262728293031 JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember 201120122013201420152016201720182019
• Freeze must be submitted at least 7 days from today
• Reason for time freeze* Select One...Business RelocationIllnessInjuryPregnancyHolidays & Other
• Freeze For* Select One...2 weeks4 weeks6 weeks8 weeks10 weeks12 weeks14 weeks16 weeks18 weeks20 weeks22 weeks24 weeks26 weeks

• Supporting documentation attached:

• Letter from employer (for business relocation)
• Medical certificate (for pregnancy/injury/illness)
• I agree to the terms & conditions
• submit