Membership Payment Holiday Request

* indicates fields that must be completed

Name*

Surname*

Membership Number* (on your UofG card)

Email address*

Phone Number

Membership Type

Date to stop payments* (Payments will cease on the 15th of the month. You must give us one month’s notice prior to the beginning of the month from which the suspension is due to begin.)

Date to restart payments* (Payments will restart on the 15th of the month. Maximum suspension is 4 months.)