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Membership Cancellation Form

First Name:

Last Name:

Email Address:

Phone Number:


Member ID:


I understand that this request to let my membership drop will result in the following:

 I recognize that by no longer paying dues and submitting this request, I will forfeit all prior IBEW pension credits and death benefits

I have consulted with an IBEW 659 employee and understand the pros and cons for moving forward with this request.

 I will not be responsible for accrued dues and past dues will not be reported to a credit agency nor will it have a negative impact in the future.
Disclaimer: However, due to the IBEW Constitution, your membership is not officially dropped, until 7 months of non-payment of dues.  This will then be reported to the International office the following month. Example if your membership drops in July, it will not be reported to the IO until August. Which means if you need a travel card or wish to remain an active member, you will be required to pay all monies due. 


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