SPLIT MEMBERSHIP

This form allows members on a couple’s membership to split into two individual memberships.

Both memberships must be in good standing before the split can be processed. All outstanding dues and On Account charges remain the responsibility of the primary account holder unless otherwise approved by Woodside.

Both members must have a valid payment method on file before the split can be processed. For security reasons, Woodside cannot accept credit card numbers, bank account numbers or full payment information by email or over the phone.

Payment information may be updated through My Woodside, in person at the Front Desk or by scheduling a billing consultation.

The secondary member must confirm the split directly with Member Billing before the change can be completed. Confirmation may be sent to [email protected].

Split membership requests require 30 days’ notice prior to the 15th of the month and will take effect on the next eligible billing cycle.

Please allow three business days for processing. Requests submitted after 3:00 PM on Friday will be processed the following week.

Primary Member Name*
Primary Member Number or Phone Number*
Primary Member Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Secondary Member Name*
Secondary Member Number*
Secondary Member Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Primary Member Email*
Primary Member Phone
Secondary Member Email*
Secondary Member Phone
Consent*
- By checking this box I confirm that both parties agree to unmerge the couple membership to a single membership on the next billing cycle.
- By checking this box I confirm that I am the primary member on this account and am requesting the change.
Primary Member Signature*
Date*

SPLIT MEMBERSHIP

SPLIT MEMBERSHIP

YOUR CLUB AWAITS

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