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Membership Change Form

Flex Membership Freeze Conditions

Membership Customers may Freeze their account at any time for $5.00 per month by completing a "Change Notice Form. Freeze Fee refunds will be credited to customers account at time of re-activation. A maximum of $30 will credited to customers account. Any Membership cancelled or terminated while "On Freeze" shall forfeit all earned Freeze Fee Refunds. To do so simply complete this Membership Change Form no later than the 25th of the month before your next billing date.

Flex Membership Cancel Conditions

Cancel any time. Pacific Sun Tanis authorized to transfer funds from your account on an ongoing basis. Membership will continue until receipt of written notice revoking this agreement. A cancellation notice must be received by Pacific Sun Tanning no later than the 25th of the month before your next billing date. If cancellation is not made before this cutoff, the member will be charged for the upcoming month

Membership Change Cutoff Date

If you wish to cancel or change your account information, cancelations or account changes will be effective as of the 1st of the next calendar month and must be received no later than the 25th of the month before your next billing date.

I Agree

Upgrade or Downgrade Conditions

Upgrading or Downgrading a membership does not change any terms or conditions agreed to at time of initial purchase. To do so simply complete this Membership Change Form no later than the 25th of the month before your next billing date.

Flex Membership Monthly Dues

  • Bronze $24.99/month
  • Silver $34.99/month
  • Gold $49.99/month
  • Platinum $69.99/month
  • Any Bed $89.99/month
  • Sunless $69.99/month
  • Red Light $34.99/month
  • Fit Wrap $69.99/month

Term Membership Monthly Dues

  • Bronze $19.99/month
  • Silver $29.99/month
  • Gold $44.99/month
  • Platinum $59.99/month
  • Any Bed $69.99/month
  • Sunless $59.99/month
  • Red Light $29.99/month
  • Fit Wrap $59.99/month

I Understand and Agree that canceling my membership or placing on freeze may result in cancellatoin fees if I have not satisfited all terms and conditions of my agreement to which I was provided a copy at time of purchase.

I Agree

 


First Customer Name
First Name*
Middle Name
Last Name*
First Customer Date of Birth*
Date of Birth
First Customer Signature*
Second Customer Name
First Name*
Middle Name
Last Name*
Customer Date of Birth*
Date of Birth
Third Customer Name
First Name*
Middle Name
Last Name*
Customer Date of Birth*
Date of Birth
Fourth Customer Name
First Name*
Middle Name
Last Name*
Customer Date of Birth*
Date of Birth
Fifth Customer Name
First Name*
Middle Name
Last Name*
Customer Date of Birth*
Date of Birth
Sixth Customer Name
First Name*
Middle Name
Last Name*
Customer Date of Birth*
Date of Birth
Seventh Customer Name
First Name*
Middle Name
Last Name*
Customer Date of Birth*
Date of Birth
Eighth Customer Name
First Name*
Middle Name
Last Name*
Customer Date of Birth*
Date of Birth
Ninth Customer Name
First Name*
Middle Name
Last Name*
Customer Date of Birth*
Date of Birth
Tenth Customer Name
First Name*
Middle Name
Last Name*
Customer Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
Requested Membership Change
Upgrading or Downgrading
Downgrade Membership (Please select Current and New Membership from the options below)
Upgrade Membership (Please select Current and New Membership from the options below)
Upgrade or Downgrade CURRENT Membership Level
Upgrade or Downgrade NEW Membership Level
Freeze or Cancel Membership
Freeze Membership
Cancel Membership
Reason for Freeze or Cancellation
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Middle Name
Last Name*
Phone*
Parent or Guardian's Date of Birth*
Date of Birth
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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