Membership Downgrade

Membership Downgrade
Member Name

First NameLast Name
Member Email
example@example.com
Member Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
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
2 digit month, 2 digit day, 4 digit yearDate

Remove Member(s)
Name

First NameLast Name
DOB

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Relationship
Age
Name

First NameLast Name
DOB

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Relationship
Age
Name

First NameLast Name
DOB

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Relationship
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
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Hour MinutesAM/PM Option
token
Todays Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty: