Dear Chairman Board of Elders,. I am writing to withdraw my membership from Grace Community Church._____ Please withdraw my membership with the understanding that, at any time in the future, I may have my membership reinstated. _____ I now live in. As I am no longer a member, I want my name permanently and completely removed from the membership rolls of the church. Below, we'll take a look at some of the options available and two sample letters to remove a board member. How do you write a letter to a pastor telling him why you won't be in church for months? Remember: If you are an annuitant and you cancel your FEHB coverage, you may not re-enroll in the FEHB Program. The student must fill out the form and obtain the required signatures: Dean of Community College. Partnerships (for international students or a recipient of.