Please enable JavaScript in your browser to complete this form.

Member Information

Name

Membership Cancellation

Are you requesting a refund?

Authorization

Agreement
Clear Signature

Managing membership cancellations can be a delicate task, but having a streamlined process in place helps both the organization and the member. That’s why we designed the Membership Cancellation Request Form template.

This form makes it easy for members to submit cancellation requests while making sure your organization gathers all the necessary details to process them efficiently and professionally.

Using the Membership Cancellation Request Form Template

Like all of our form templates, this one is completely customizable. But in the meantime, you’re all set to go with these fields and functionality:

  • Member Identification: This form begins by collecting essential member information, including their name, email, and membership ID or account number. With this data, you can easily verify the identity of the member requesting the cancellation and retrieve their membership details.
  • Simplified Cancellation Process: With fields for the membership type and cancellation reason, members can specify exactly what type of membership they are canceling and why. The dropdown menu for reasons—whether the membership is no longer needed or there’s dissatisfaction—helps you understand the member’s motivations and possibly address any concerns before finalizing the request.
  • Flexible Scheduling: The inclusion of a last payment date and preferred cancellation date gives members the flexibility to schedule their cancellation based on their billing cycle. This helps prevent any misunderstandings regarding payments and ensures the cancellation is processed at the right time.
  • Refund Requests and Feedback: The form also allows members to request a refund if applicable, and it provides an open-ended space for the user’s feedback on service. This is a valuable opportunity for you to collect insights from departing members and potentially improve future services or offerings.
  • Authorization: To avoid any disputes, the form includes a consent checkbox for members to agree with the terms and conditions of their membership cancellation. A digital signature field finalizes the process, providing clear authorization and documentation of the request.

By using this form, organizations can maintain a smooth cancellation process while learning how to better retain members in the future. Gain access to the Membership Cancellation Request Form template and thousands of other templates for your site by signing up with WPForms today!