Membership Freeze Form

Please complete the below form if you wish to freeze your WV Active membership. A notice period of 30 days before your next Direct Debit payment must be given to freeze your membership. All Direct Debit payments are taken on 1st of each month. For example, if you would like to freeze your membership for February, you must complete the freeze form by 1st January. Want to get in touch with a member of our WV Active team? Contact us via telephone or email today - Telephone : 01902 551010 E-mail : wvactive@wolverhampton.gov.uk.

Full Name:*

Phone Number:*

Email:*

Please select how long you would like to freeze your membership for:*

Reason for freeze:*

Once you have submitted your freeze request, please check your email inbox (and junk) for receipt of this. Please call 01902 551010 and select option 0 if you do not receive email confirmation of this request.