ONE55 | Time Hold request

Time Hold Request

Member Full Name *

Date of Birth *

Email Address *

Contact Phone *

Effective from *7 days prior notice required.

Effective to *

Upload Medical Certificate here (max 20MB) *

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Terms and Conditions

7 days prior written notice must be provided for a Time Hold request.
A maximum period of 6 weeks (42 days) is available for a General Time Hold request in each year of my membership.
Medical Time Hold request: a minimum of 1 week and up to a maximum of 3 consecutive months is available in each year of my membership; and the request must be accompanied with a medical certificate.
Payments will cease during the Time Hold period.
An administration fee of $10.00 per request is payable at the time of the Time Hold request. This will be debited from your nominated account upon processing the Time Hold.

I agree to the terms and conditions.
*

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