Duke Center For Living at Fearrington | CLOSED -Labor Day Holiday

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100 CLYNELISH CLOSE
PITTSBORO, NC 27312
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Hours

Monday-Thursday 6am-8pm.
Friday 6am-6pm.
Sat-Sun 8am-5pm.

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Membership Cancellation

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PLEASE NOTE:

Requests must be received 30 days in advance of the requested start date and are subject to the Member Services Manager’s approval.

1. Complete Member Information.

Member(s) Name*

Todays Date*

MM slash DD slash YYYY

Cell #*

Email*

TERMINATION

30-Day Advance Notice

Other members on Agreement need to be re-written

Paperwork Attached

YES

NO

Locker Key Returned

YES

NO

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Max. file size: 50 MB.

May be granted immediately under the following circumstances and with proper written documentation. Members may not use services that are on the canceled account without incurring additional charges.

Relocation – Membership may be canceled with proof of address of relocation of 50 or more miles from the facility

Medical– Membership may be canceled with written documentation from a member’s physician stating that the member is directed to discontinue use of the facility and services.

Death – Memberships will be terminated upon notification of death, with written note from the estate executor

Consent*

I hereby agree that the above information is accurate and I authorize the Duke Center for Living and Galloway Ridge Inc. to amend my Membership Agreement and billing status accordingly.*

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Membership Vacation Freeze Request

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PLEASE NOTE:

Requests must be received 30 days in advance of the requested start date and are subject to the Member Services Manager’s approval.

1. Complete Member Information.

Member(s) Name*

Todays Date*

MM slash DD slash YYYY

Cell #*

Email

VACATION FREEZE

Freeze may be granted for a minimum of one month and a maximum of 6 months, in full month increments only.
Freeze does not have to begin on the first of the month.
Cost of Freeze = $12 per month per member
Early return must have taken at least 30 days freeze
Members may not use services that are on a frozen account without incurring additional charges.

Start Date*

MM slash DD slash YYYY

End Date*

MM slash DD slash YYYY

Total # of Months:*