Membership Change Request

Summit Area YMCA

Membership Change Request
I would like to:*

Change my membership typeProcess my health plan changeAdd/remove a family member on my membershipChange my payment methodUpdate my contact information/address/phone/emailPlace my membership on holdCancel my membership
UPDATE YOUR CONTACT INFORMATION

We're happy to assist you with updating your contact information if needed, however you have access to make this change yourself by signing in to your online membership account here:

https://operations.daxko.com/Online/Membership/myaccount.aspx?cid=3144

Once signed in, click on My Account > View Account and you can edit your name, address, phone number or email information as needed.

If you are able to make the change yourself, please cancel out of this request.

If for whatever reason you are not able to complete the change yourself, please continue to submit this request and we will process the updates for you.
PROCESS MY HEALTH PLAN CHANGE

We're happy to assist you! To update your membership account, please click here:

https://www.thesay.org/health-plan-change
UPDATE YOUR BILLING METHOD

We're happy to assist you with updating your billing method if needed, however you have access to make this change yourself by signing in to your online membership account here:

https://operations.daxko.com/Online/Membership/myaccount.aspx?cid=3144

Once signed in, click on My Account > View Account and you can add, edit or delete any credit/debit card information as needed.

If you are able to make the change yourself, please cancel out of this request.

If for whatever reason you are not able to complete the change yourself, please continue to submit this request and we will contact you via telephone to request your new payment method. Please be sure the phone number you provided for us to contact you is correct. Due to security reasons, we are unable to accept payment information via this form.
Primary branch*
Full name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
Phone number*
Example: 555-555-5555
Change option*

Upgrade my membership typeDowngrade my membership typeAdd a family member to my membershipRemove a family member from my membership

Click here to continue...
ADD A FAMILY MEMBER TO YOUR UNIT

We're happy to assist you! Please note, adding a family member to your unit may result in a change to your membership type and/or increase your monthly membership fee.

If this is the case, we will contact you to confirm the changes within 3 business days and they can begin enjoying all the offerings of our YMCAs once you receive confirmation from us that the change was processed. We will use your current payment method to process any additional membership fees at the time of the request. Going forward you will be billed the new membership rate (if applicable).

If any new family members are an adult and this will be their first visit to our YMCA, they will be required to show a government issued ID to verify their identity upon their first visit. If the address on their ID does not match that on the membership unit, they will have to show proof of address that matches yours as only those that reside within the same household can share a membership. View membership type rules here.
UPGRADE YOUR MEMBERSHIP

We're happy to assist you! Your membership type will be updated as requested within 3 - 5 business days. Since you upgraded your membership to include additional family members, they can begin enjoying all the offerings of our YMCAs once you receive confirmation the change was processed. We will use your current payment method to process any additional membership fees at the time of the request. Going forward you will be billed the new membership rate (as indicated below).

If any new family members are an adult and this will be their first visit to our YMCA, they will be required to show a government issued ID to verify their identity upon their first visit. If the address on their ID does not match that on the membership unit, they will have to show proof of address that matches yours as only those that reside within the same household can share a membership. View membership type rules here.
DOWNGRADE YOUR MEMBERSHIP

We're happy to assist you! Your membership type will be updated as requested within 3 business days. Since you downgraded your membership to remove additional family members, they will be prevented from enjoying all the offerings of our YMCAs once you receive confirmation the change was processed. If your membership dues were already billed for the month, we may adjust the total due for the next month and going forward you will be billed the new membership rate (as indicated below).
REMOVE A FAMILY MEMBER FROM YOUR UNIT

We're happy to assist you! Please note, removing a family member to your unit may result in a change to your membership type and/or monthly membership fee.

If this is the case, we will contact you to confirm the changes within 3 business days and they will be prevented from enjoying all the offerings of our YMCAs once you receive confirmation the change was processed. If your membership dues were already billed for the month, we may adjust the total due for the next month and going forward you will be billed the new membership rate.
CHOOSE YOUR MEMBERSHIP TYPE
Choose a Membership Package
CORE MEMBERSHIP
Select your new CORE membership type:

Adult ($97/month)College Student ($63/month)Family ($150/month)Senior Adult ($82/month)Senior Family ($115/month)Teen ($58/month)Youth ($115/year)
CORE WITH BHCP POOL MEMBERSHIP
Select your new CORE WITH BHCP POOL membership type:

Adult ($124/month)College Student ($82/month)Family ($195/month)Senior Adult ($94/month)Senior Family ($135/month)Teen ($75/month)
CORE WITH SCP POOL MEMBERSHIP
Select your new CORE WITH SCP POOL membership type:

Adult ($118/month)College Student ($82/month)Family ($189/month)Senior Adult ($94/month)Senior Family ($135/month)Teen ($74/month)
ALL-ACCESS MEMBERSHIP
Select your new ALL- ACCESS membership type:

Adult ($140/month)College Student ($95/month)Family ($222/month)Senior Adult ($103/month)Senior Couple ($149/month)Teen ($88/month)
Select your new PRO membership type:

Adult ($498/month)College Student ($453/month)Family ($578/month)Senior Adult ($463/month)Senior Family ($505/month)Teen ($446/month)
Help us ensure everyone who wants to participate in a Y program can, regardless of financial circumstance by adding on a tax-deductible monthly contribution towards the Annual Campaign.
Please confirm your willing to contribute $10/month to our Annual Campaign:*

YesNo
List the member's name, date of birth and relationship to you:
PLACE YOUR MEMBERSHIP ON HOLD

We're happy to assist you and appreciate your willingness to return to us whenever you are ready. For this option, you may select to place your membership on a temporary hold for a monthly fee of $40 for up to three months. Please note, while on hold you may not participate in any Y activities or register for future programs.

If your membership dues were already billed for the month, your membership hold will begin next month and going forward you will be billed the hold fee until your requested hold period has ended. Once your hold period has ended, your membership draft will automatically resume on your previous monthly billing date.
Reactivate my membership in:*

1 month2 months3 months
Payment options:*

Please use my current payment method on fileI would like to provide a new payment method
Please call us now at (908)273-3330 or (908)464-8373 to update your payment method. We will be unable to process your request without this new information.
MEMBERSHIP CANCELLATION REQUEST

We're sorry to see you go! Upon submission, this request will serve as your notice of membership termination from the Summit Area YMCA as stated in the authorization forms you signed when you joined. Your membership termination will be processed within 3 business days and go into effect on the date prior to your next scheduled bill date (the last date that your most recent membership payment was paid through). We will confirm your termination end date via email upon completion of the request and you may continue to use the Y until the scheduled termination date.
Reason for termination:

Dual ResidenceFinancialMedicalMoved/MovingNo longer using the facilityOther
Is there anything we could have done to serve you better?
SUPPORT THE Y

We are deeply grateful for your generosity to sustain the Summit Area YMCA and the support of our mission. If you would like to contribute a gift to the Y, please complete the following pledge details.
Gift options:

One-time giftRecurring monthly gift
Gift amount:
Example: $100
Donation receipt request:

Please send me a Donation Acknowledgement Letter
REQUEST PROCESSING & CONFIRMATION

Upon submission of this form, the Summit Area YMCA will begin processing your request. If any additional information or clarification is needed we will reach out to you shortly. Most requests will be processed within 3 business days and you will receive an email upon completion from our membership team.
Enter promo code:
Additional questions or comments?
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Summit Area YMCA

CHOOSE YOUR MEMBERSHIP TYPE

CORE MEMBERSHIP

CORE WITH BHCP POOL MEMBERSHIP

CORE WITH SCP POOL MEMBERSHIP

ALL-ACCESS MEMBERSHIP