This certifies that. Has been until this date a member of the Church of the Nazarene at.Include your full name, membership date (if known), contact information, and a brief explanation for your departure (optional, but often appreciated). Dear Chairman Board of Elders,. I am writing to withdraw my membership from Grace Community Church. Note: If you fill out the form on your computer, you will NOT be able to save the completed form unless you have the full version of Adobe Acrobat. I wish to bring to your attention a matter of personal significance- my decision to end my membership with our church. Below, we'll take a look at some of the options available and two sample letters to remove a board member. Encourage their parents to fill out and return the Census form. She also announced the Caesar Chavez March and Rally was held on March 27, 2010. d.