Member Request Form

First Name *

Last Name *

Phone *

Email

Request *

Select an option

Place a membership ON HOLD
Take a membership OFF HOLD
CANCEL a membership
REMOVE an add on from a membership
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Start Date for Request

End Date (Membership Holds Only)

The Minimum Hold Time for All Eligible Memberships is 14 Days

Submitting this form DOES NOT complete your request. You will receive an email/text confirmation that your request has been completed within 48-72 hours of submitting this form. Please contact the facility with any questions you may have

(770) 680-6771 / info@keppnerboxingloganville.com

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