Freeze / Cancellation Form

Interested in freezing or canceling your membership? Fill out this form and we will be in touch with you shortly to assist with processing your request.

Name

Email

Phone Number

I would like to

Desired Start Date

Length of Freeze (if applicable)

Reason for Cancelling / Freezing

Terms & Conditions
Please note that membership freeze and cancellation requests are subject to approval and may incur additional fees as outlined in the membership agreement you signed upon joining. https://empiretriclub.com/membership-agreement/

Click here for more information about our Freeze and Cancellation policy. https://empiretriclub.com/terms-conditions/ If you have a doctor’s note, documentation to support extended travel, or are moving more than 25 miles outside of NYC, please email info@empiretriclub.com.

I have read and agree to the terms above: