Membership Request-to-Cancel Form

We're sorry to see you go!

This request-to-cancel form allows you to let us know you'd like to end your One Acadiana membership. In a few weeks, we may reach out requesting feedback about your membership to learn how we can improve the 1A membership experience.

A member of our team may follow up with you if additional information is needed. In the meantime, thank you again for being part of One Acadiana — we wish you continued success and hope to reconnect in the future.

Fields marked with an * are required.

Contact Information

First & Last Name *

Company *

Email Address *

Phone Number *

Authorization & Acknowledgement

Do you acknowledge and agree to the following: *

I understand that submitting this form serves as a request to cancel my company’s One Acadiana membership and that membership benefits will end once the cancellation is processed.
I confirm that I am authorized to submit this request on behalf of my organization.
I understand that One Acadiana may contact me to follow up on this request or to discuss my responses.
I acknowledge that any outstanding balances, if applicable, may still be due in accordance with One Acadiana’s membership policies.
I understand that submitting this form does not guarantee immediate cancellation and that a confirmation may be provided once the request has been reviewed.

Membership Request-to-Cancel Form

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Membership Request-to-Cancel Form

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