Membership Cancellation Request Form

Membership Cancellation Request
Date

MonthDayYear
Date
Name

First NameLast Name
Phone Number
Format: (000) 000-0000.
Email
example@example.com
What is the main reason for cancelling your membership?

Other
How many giveaways have you participated in (within the ILM Community)?

Other
On a scale of 1-5 (5 being the highest), how do you rank your overall experience at Infinite List?
What were your desired list growth goals when you joined the Infinite List?
What were your expected list growth goals from an average giveaway?

Other
What were your expected list growth goals from hosting your own giveaway?

Other
Did you meet those goals?
How would meeting those goals have impacted your business as it is today?
Which of the following services did you use at the Infinite List?

Other
If you took advantage of your Giveaway Concierge Services, did it meet your expectations?
Did the Infinite List Team provide a good customer experience?
Did you find the Infinite List Team to be knowledgeable?
Did you find our communications helpful?

We want your input!

Rows	Definitely	Probably	Not Sure	Probably Not	Definitely Not
Would you consider rejoining in the future?
Would you recommend the Infinite List to others?

How can we improve our membership services?
Did you participate as an Affiliate/JV Partner with the Infinite List at any time during your membership?
If you answered NO to participating as an Affiliate/JV Parter, what has stopped you? (please check all that apply)

Other
If you answered YES to participating as an Affiliate/JV Parter, what was your experience? (please check all that apply)

Other
Please check the following to show that you understand the impact of your cancellation:
Please check the following to show that you understand the impact of your cancellation:
Please check the following to show that you understand the impact of your cancellation:
Please check the following to show that you understand the impact of your cancellation:
Please check the following to show that you understand the impact of your cancellation:
Please check the following to show that you understand the impact of your cancellation:
Please check the following to show that you understand the impact of your cancellation:
I hearby certify that I wish to cancel my membership with Infinite List. I understand that my account must be in good standing in order to complete this request. I also understand that I am responsible for any billing that transpired within the last 30 days, and that my membership will remain in full force until the end of that paid period. I understand I will be provided a copy of this Member Cancellation request via email.

By completing this cancellatiuon notification, I also attest that I have read and understand the terms of this cancellation and the impact they may have upon my membership as outlined in both the ILM Terms & Conditions and the Membership Cancellation Terms found on the associated pages linked herein.
Name

First NameLast Name
Signature
Required to Complete Your Cancellation

You must affirm that you have read and understand the ramifications of cancelling your membership in order to complete the cancellation process. Thank you.
Should be Empty:

Membership Cancellation Request

Required to Complete Your Cancellation