Cancellation Form

Cancellation Form

Name(Required)
I have attended a MOB meetup(Required)
I have attended a MOB Conference(Required)
I have taken advantage of Alliance exclusive vendor discounts or ad specials(Required)
I have worked with another MOB and received a MOB discount(Required)
I acknowledge that canceling my membership will delete my listing from the MOB Directory and MOB Nation app (if applicable), and I will be removed from the MOB Alliance Facebook group immediately. If I wish to rejoin at a later date, I will need to reapply (including paying the sign up fee, setting up the directory listing, and the current MOB Alliance membership fee).(Required)