Contact Person’s Full Name *

First Name

Last Name

Reason for Termination *

Service

Building Facilities

Space Facilities

Price

Business Closure

Signed up with another space

Others

Terms *

1. Clearance for termination will be given upon final inspection of workspace and with all WORKCENTRAL property returned. 2. In return for the member vacating the premise on or before the Termination Date, Membership will be cancelled effective that date and the parties will have no further obligation to each other under the Agreement. 3. Termination does not discharge obligations and liabilities accrued under the Membership up to the date of its termination. 4. Suite membership: Membership fee is charge per Suite basis. Membership fee will not change when there are any decrease in number of persons. 5. Dedicated Team Seating: Membership fee will not change when there are any decrease in number of persons.

I confirm that the above information is accurate

I accept the Terms of Termination

Termination Date (MM/DD/YYYY) *

MM

DD

YYYY