Book Club Dissolution Petition
Submit this form to formally request the dissolution of your book club. Please ensure all required information is complete.
Book Club Name
*
Club Founding Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Club Location (City, State/Region)
*
Petitioner's Full Name
*
First Name
Last Name
Petitioner's Email Address
*
example@example.com
Petitioner's Role in the Club
*
Please Select
President
Vice-President
Secretary
Treasurer
Member
Other
Number of Current Active Members
*
Reason for Dissolution
*
Have all members been informed of the intent to dissolve the club?
*
Yes, all members have been informed
No, not all members have been informed
Number of Members Agreeing to Dissolution
*
Please upload a list of agreeing members' names and signatures (PDF or Image)
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Petitioner's Signature
*
Submit Petition
Submit Petition
Should be Empty: