When you are finished completing the form press 'SUBMIT' and your form will be sent to the front desk staff who will fulfill your request. 

Name *
Please select which Synergy location you attend.
Please select the change would like to make your membership
Membership Hold Section
Only required if you are requesting a membership hold
Only required for a membership hold
Membership Cancellation Section
Only required if you are cancelling your membership
Remember that all month-to-month contacts require 30 days notice for cancellation.