Dear _______________________________ Membership Department,
(insert current name of auto club)

I'm sending you this written notice to request cancellation of my membership in your auto club effective immediately. It is my understanding that upon receiving this cancellation notice you will refund the unused portion of my annual membership dues (if applicable) to me at the address listed below. I've also enclosed my membership card(s) for your disposal.

Thank you,

___________________________________________________
Signature

____________________________
Date

__________________________________________
Member Name

__________________________________________
Address

__________________________________________
City, State, Zip Code

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