Dear Chairman Board of Elders,. I am writing to withdraw my membership from Grace Community Church.Below, we'll take a look at some of the options available and two sample letters to remove a board member. As I am no longer a member, I want my name permanently and completely removed from the membership rolls of the church. Dear Mr. Ullman: I am writing to inform you that I am withdrawing my application for the program coordinator position. I wish to bring to your attention a matter of personal significance- my decision to end my membership with our church. Failure to complete the necessary withdrawal procedures results in a final grade of F for all courses. As I am no longer a member, I want my name permanently and completely removed from the membership rolls of the church. HHS Publication No. (SMA) 14-4849. Addendum to Application to Inspect Public Records.