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Member Forms

Ø Medical Freeze Form –freeze membership for medical reasons by submitting form or if you have procedure questions call 1-877-516-3207

o   Buffalo or Rochester Medical Freeze Form

Ø Out of Town Freeze Form –freeze membership to go out of town by submitting form or if you have procedure questions call 1-877-516-3207

o   Buffalo or Rochester Out of Town Freeze Form

 

Ø Medical Cancellation – cancel membership due to medical condition by submitting form or if you have procedure questions call 1-877-516-3207

o   Buffalo or Rochester Medical Cancellation Form

Ø Relocation Form – if moving further than 25 miles from an existing location by submitting form or if you have procedure questions call 1-877-516-3207

o   Buffalo or Rochester Relocation Form