Cancellation Letter Form


The Manager,

Cozy Club,




15th March, 2012

Subject: Cancellation of club membership by duly filling cancellation form

Dear Manager,

Please find the details of the cancellation request that I wish to make for the membership with your club as follows:

Cancellation Form

Personal Information :

Name                                  Jackson Matthew

Home Address                    #1, Yam, Cleveland, London, TS15

Office Address                    #55, Oldham, Lancashire, London, OL12

Contact Number                 (123)456789

Email address           

Membership Information :

Membership Number           CZ123

Membership type                 Lifetime

Reason For Cancellation      Leaving Out of Country

Date of Request                    15th March 2012

Payment of Dues if any        None

I request you to kindly process my cancellation request at the earliest and confirm the same on the home address mentioned above. In the absence of receiving any confirmation letter from your end within seven business days I will consider my cancellation request as having been processed and will not be responsible for payment of any fees levied thereafter.

Yours truly,

Jackson Matthew


Leave a Reply

Your email address will not be published. Required fields are marked *