Please note our current freeze fee is £15 per month.
Date of Birth:Day12345678910111213141516171819202122232425262728293031 MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Year20122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900
Freeze Start Date:
(We must receive your notice by the 1st day of a month if you want to freeze your membership of the next following calendar month. Any notice received on or after the 2nd day of a calendar month will mean that the earliest that the freeze will be effective is from the end of the last day of the following calendar month.)
Length of Freeze:1 Month2 Month
Freeze End Date:
Why are you Freezing your account?
BusinessHolidayMedicalOther (Please Specify)
If Other Specify here:
Please leave this field empty.
© Copyright 2000-2016. Dolphin Square Ltd (formerly Mantilla Ltd). All rights reserved. Dolphin Square
is a trading style and trade mark of Dolphin Square Ltd (formerly Mantilla Ltd). Access to and use of
www.dolphinsquare.co.uk/house (and related Dolphin Square websites) is