Membership Cancellation Form

The minimum membership donation change to $2 only affects those who currently donate less than $2. If you are a Protector or Leadership member or otherwise donate $2 or more, you are not affected.

Here’s how your contribution has helped your fellow FDC officers and staff:

2017 Total FDC Employees Assisted-Regular Assistance: 438
2017 Regular Assistance Total: $500,800
2017-Total FDC Employees Assisted-Disaster Relief: 483
2017-Disaster Relief Total: $279,800

Total Staff Assisted 2017 Calendar Year: 921
Total Dollars Paid Out 2017: $780,600

Total Amount Provided since 1999: $7.5 million 
Total Amount Assisted since 1999: 7,700

Use this form to cancel your membership if you do not want your membership contribution to increase to $2 effective March 16, 2018.

We will process your cancellation and you will no longer be eligible for full financial assistance should an emergency occur.

All fields are required to verify your information.

I do not want my membership donation increased to $2. I understand my membership will be cancelled within one to two pay periods and I will not be eligible for full financial assistance should an emergency occur in the future.

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