Freeze Request Form

7 day notice requirement for any freeze requests

Yes, I understand

Your Name

Email Address Used on Actif Account

Member ID

This can be found on your confirmation email when you first joined Actif

When you wish to Freeze From

Please Note: a freeze can only be made on the 1st of each month. Please state the first day of which month you would like to freeze.

Freeze End Date

Please Note: an unfreeze can only be made at the end of each month. Please state the end of which month you would like to freeze.

Are you the primary member?

Yes

No