Legal Membership Termination Form

LEGAL MEMBERSHIP TERMINATION FORM

This Membership Termination Agreement (the Agreement) is entered into as of by and between Organization Name: with principal address ("Organization"), and Member Name: with address ("Member").

RECITALS

WHEREAS, Member is a current member of the Organization and holds the rights and obligations described in the Organization's governing instruments and membership policies; and

WHEREAS, the parties desire to terminate the membership relationship between Member and Organization on the terms set forth in this Agreement in order to define final obligations, the disposition of funds and property, and mutual releases; and

WHEREAS, the parties acknowledge that termination may be by voluntary resignation, expulsion, non-renewal, or other cause as indicated below and wish to document the effective date and post-termination responsibilities.

Reason for Termination:

Voluntary resignation Expulsion or removal Other (describe below)

Additional explanation:

NOW, THEREFORE

In consideration of the mutual covenants and agreements contained herein, the parties agree as follows:

1. TERMINATION AND EFFECTIVE DATE

1.1 Termination. Member's membership in the Organization shall terminate effective as of (Effective Date). From the Effective Date Member shall no longer hold any of the rights of membership except as expressly preserved in this Agreement.

1.2 Participation. Except as expressly provided in this Agreement, Member shall not participate in management, voting, or other member activities after the Effective Date.

2. FINAL OBLIGATIONS; ACCOUNTING; SETTLEMENT

2.1 Outstanding Fees. Member represents that, as of the Effective Date, the balance owed to Organization for dues, fees, or assessments is . Payment of the outstanding balance, if any, shall be due within days of the Effective Date unless otherwise agreed in writing.

2.2 Final Accounting. Within days after the Effective Date Organization shall provide Member with a final statement of account showing amounts due, credits, and any refundable balances. Any disputes to the final accounting must be delivered in writing within days of receipt.

3. RETURN OF PROPERTY AND ACCESS

Member shall return to Organization, no later than days after the Effective Date, all materials, keys, electronic access credentials, documents, and property belonging to Organization. Organization may terminate or suspend access to systems upon the Effective Date and certify completion of return in its final accounting.

4. CONFIDENTIALITY

Member acknowledges that certain information obtained during membership is confidential. Except as required by law, Member shall not disclose confidential Organization information obtained prior to termination. This obligation shall survive termination for a period of years.

5. RELEASE

5.1 Mutual Release. Except for obligations expressly preserved in this Agreement, each party hereby releases and forever discharges the other party and its affiliates from any and all claims, demands, causes of action, liabilities, and expenses arising out of the membership relationship prior to the Effective Date, whether known or unknown, liquidated or unliquidated.

5.2 Survival. Sections concerning confidentiality, indemnification, representations, and any payment obligations shall survive the Effective Date and remain binding in accordance with their terms.

6. REPRESENTATIONS AND WARRANTIES

Each party represents and warrants that it has full power and authority to enter into this Agreement and that execution and performance will not violate any other agreement or obligation to which it is bound.

7. INDEMNIFICATION

Member agrees to indemnify and hold harmless Organization from and against any claims, losses, damages, liabilities and expenses (including reasonable attorneys' fees) arising from Member's actions or omissions during membership that result in third-party claims, except to the extent caused by Organization's gross negligence or willful misconduct.

8. NOTICES

All notices or requests required or permitted hereunder shall be in writing and delivered by hand, certified mail (return receipt requested), or overnight courier to the addresses below or to such other address as the party shall designate by notice in accordance with this Section.

9. AMENDMENTS, WAIVER, COUNTERPARTS

9.1 Amendments. No amendment or modification of this Agreement shall be effective unless in writing and signed by both parties.

9.2 Waiver. Failure to enforce any provision of this Agreement shall not constitute a waiver of future enforcement of that or any other provision.

9.3 Counterparts. This Agreement may be executed in counterparts, each of which shall be deemed an original and all of which together shall constitute one and the same instrument.

10. GOVERNING LAW; SEVERABILITY; ENTIRE AGREEMENT

10.1 Governing Law. This Agreement shall be governed by and construed in accordance with the laws of the jurisdiction selected by Organization at its principal place of business, without regard to principles of conflicts of law.

10.2 Severability. If any provision of this Agreement is held invalid or unenforceable, the remainder of the Agreement shall remain in full force and effect and the invalid provision shall be reformed to the minimum extent necessary to make it enforceable.

10.3 Entire Agreement. This Agreement constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior negotiations, understandings, and agreements, whether written or oral.

11. ADDITIONAL PROVISIONS

11.1 Cooperation. Each party agrees to execute and deliver such further instruments and take such further actions as may reasonably be required to carry out the purposes and intent of this Agreement.

11.2 Taxes and Withholding. Each party shall be responsible for its own taxes and withholdings arising from payments contemplated by this Agreement unless otherwise agreed in writing.

CERTIFICATIONS

By signing below, each signatory certifies that he or she is authorized to bind the party for which they sign; that the information provided in this Agreement is true and correct to the best of their knowledge; and that they have read, understand, and agree to the terms set forth herein.

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