Membership Cancellation Form Template. Ease the process of membership cancellations with our user-friendly Membership Cancellation Form.Notify the Stated Clerk of the presbytery of changes in the membership of session. 17. A wide range of business forms are available in the Business Filing Services portal. Additional forms, guides, and reports can be found here. Download the Act 50 Applications(PDF, 1MB) and complete it. Dear Chairman Board of Elders,. I am writing to withdraw my membership from Grace Community Church.