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Rutgers New Brunswick
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Membership Change Form
Membership Change Request
Name
(Required)
First
Last
Email
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Request
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Freeze a membership
Cancel a membership
Other
Freeze your membership for $10 per month and it will be waiting for you upon your return. This way, you won’t pay a startup fee when you get back.
Effective Date
(Required)
MM slash DD slash YYYY
All membership changes must be made by the LAST DAY OF THE MONTH in order to take effect for the following month. Any submissions sent on or after the 1st will be processed for the following month.
Reason for change
We would appreciate the feedback