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I (we) understand this is a leave of absence in which my (our) account will be temporarily frozen. The date below indicates the next month I (we) can expect to be automatically billed and the membership to be activated.

Article IV Section III of the Piedmont Hospital Health and Fitness Club Agreement states:

Members may apply for a leave of absence if they are unable to use the facilities for no less than two months and no more than six months. The leave of absence will only be granted (1) time per calendar year. The Leave of Absence option does not apply to annual memberships.



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