Resignation from membership

Structure Wellness Limited
FCA registration no. 9648
8 Stevenson Square, Manchester, M1 1FB

To the Secretary, Structure Wellness Limited, 8 Stevenson Square, Manchester, M1 1FB

I wish to resign as a member of Structure Wellness Limited with effect from the date this notice is received.

Full name

Member no. (if known)

Email or phone

Address

I understand that when my membership ends, my £1 share is cancelled and the amount paid on it becomes the property of the society (Rule 17).

Signature

Date

Organisations

If resigning on behalf of an organisation, please also give:

Organisation name

Your role

Date received

Date removed from register

Structure Wellness Limited · Community Benefit Society · FCA no. 9648