Cancellation Form Cancellation Form Name(Required) First Last Email used to log into the MOB directory(Required) Business Name as it appears in the MOB directory(Required) I have attended a MOB meetup(Required) Yes No I have attended a MOB Conference(Required) Yes No I have taken advantage of Alliance exclusive vendor discounts or ad specials(Required) Yes No I have worked with another MOB and received a MOB discount(Required) Yes No Reason for cancellation(Required) I acknowledge that canceling my membership will delete my listing from the MOB Directory and MOB Nation app (if applicable), and I will be removed from the MOB Alliance Facebook group immediately. If I wish to rejoin at a later date, I will need to reapply (including paying the sign up fee, setting up the directory listing, and the current MOB Alliance membership fee).(Required) Yes
