Write a letter to or call the church's office and ask to withdraw membership and remove your information from their records. You can always write a formal letter to your local church board stating your request and the reasons why.Where do I submit this permit? You may submit the permit at our main office, the Central Phoenix location only. Dear Chairman Board of Elders,. I am writing to withdraw my membership from Grace Community Church. The forms are available at the Law Library Resource Center. You can pick up the forms, fill them out and file them at a file counter. Unless otherwise stated in the notice or order of dismissal, the dismissal is without prejudice. B. Involuntary Dismissal; Effect. 1.