Membership Cancellation Form Template

We're sorry to see you goPlease provide us with your full name.What's the email address associated with your membership?Thanks. Would you mind sharing the reason for your cancellation?

Relocation, Personal reasons, Not using it, Membership costs, Dissatisfaction

How would you evaluate your overall experience with us?Lastly, we'd love to hear any feedback. Do you have any suggestions or comments to help us improve?Feel free to skip this if not.Thanks. We'll send an email to confirm your cancellation.

Collect up to 3.5x more data with Typeform

Make a great last impression

Saying goodbye is never easy. But when members are ready to move on, their cancellation process should be quick and painless. Use this membership cancellation form to collect all your requests in one step. And—if it feels right—ask why they’re leaving. This insight can really help improve your service.

With Typeform, you can customize everything

Change text, colors, and even logos to match look and feel of your brand. Then embed forms smoothly onto web and email.

Make forms feel effortless to fill out. Pace questions, call people by their name, and adapt the flow based on the data they share.

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Membership cancellation form FAQs:

Keep it brief, keep it friendly, and always start from empathy—if members are heading for the exit, they won’t want to be kept waiting. So ask for what you need, then hold the door wide open for them.

For starters, always ask for the essentials like names and email addresses. But it doesn’t have to stop there. Give members the chance to tell you why they’re leaving—you never know, you might be losing members for something that’s easily fixable.

An organized membership cancellation process is essential for any business. You’ll want easy access to your churn data at all times, so you can see who needs removing from the system—and why.

Luckily, Typeform makes this part easy. Connect your form with our smart integrations that send your data where it needs to be. With a Slack integration, you can set up automatic notifications each time someone submits their form, meaning you can remove them from the system straight away. Or, you can hook your form up to Google Sheets, so requests gather into neat spreadsheets.