Membership Downgrade

Membership Downgrade
Member Name*

First NameLast Name
Member Email*
example@example.com
Member Phone Number*
Please enter a valid phone number.
Current Membership Type*
Will be reviewed by management
Desired Membership Type*
Will be reviewed by management
Please Indicate Membership Type (Current)*
Current
Please Indicate Membership Type (Desired)*
Desired
Effective Date*

MonthDayYear
Date

Remove Member(s)
Name*

First NameLast Name
DOB*

MonthDayYear
Date
Relationship*

Spouse/Registered Domestic PartnerChild
Age
Name

First NameLast Name
DOB

MonthDayYear
Date
Relationship

Spouse/Registered Domestic PartnerChild
Age
Name

First NameLast Name
DOB

MonthDayYear
Date
Relationship

Spouse/Registered Domestic PartnerChild
Age
Spouse/Registered Domestic Partner's Email*
example@example.com

If you are looking to remove more than three related members, please fill out additional forms with the additional member information.

This membership conversion request is submitted to the RAC Business Office and is subject to approval by RAC Management. A Business Office Associate will send you an email which will include all the expected charges and/or credits as a result of your membership conversion request.
Member Signature*

Clear
Date

MonthDayYear
Date
Hour MinutesAM/PM Option
token
Todays Date

MonthDayYear
Date
Should be Empty: