Suspension / Pause Payments Request Form

If you have multiple programs, you will have to send a seperate form for each of the enrolled courses via the help.wilsuccess.global website.Other than that this is good to go

You may suspend/pause your membership payments for a total of 1 month per contract year, taken in increments of two (2) weeks. Requests exceeding this limit may not be approved. Please choose your suspension dates accordingly.

Full Name *

Note: Please enter the EMAIL ADDRESS you used to sign up for the Advanced Practitioner Program.

Email *

Please let us know the reason (e.g., travel, financial, personal reasons) *

Suspension Request Details

I would like to request a suspension of my payments as per the terms of my contract. I understand that I am eligible to suspend my payments for up to one month in two-week increments each year of my contract.

Note: Please select a CURRENT or FUTURE DATE.

Start Date *

End Date (not more then two weeks in advance) *

I acknowledge that I can only request one month of suspension each year and that the suspension will be in two-week increments.

Terms and Conditions

Payment suspensions are available only once per year of the contract.
Each suspension period can only be in two-week increments.
The total suspension period can only be one month per year.
Any payments missed during the suspension period will be added to the remaining balance of the contract.
This form must be submitted at least 14 days prior to the requested suspension start date.
The suspension will not extend the overall contract duration.

Signature

By signing below, I confirm that I understand the terms of the payment suspension, and I agree to the conditions outlined above.

Signature *

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