Resignation Form

1

Full Name* This field is required.Must be an owner or director

First Name

Last Name

2

Mobile Number

Please enter a valid phone number.

3

Business Name* This field is required.

4

What is your reason for resigning as an NGIQ member?* This field is required.Please be as detailed as you like.

5

Do you have any other feedback regarding our events or the NGIQ in general?