Spousal or Partner Removal
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Sample letter requesting the removal of a legal Spouse or Partner from a ClubShop Rewards Partner Membership. Both parties must sign this form.

Mail to: ClubShop Rewards
Attention: Membership Department
2828 So. McCall Rd., Suite 13
Englewood, FL 34224

PARTNER INFORMATION
JOINT MEMBERSHIP INFORMATION
PARTNER ID Number:  
PARTNER Name: Joint Membership Name:

PARTNER Address:		 Joint Membership Address:

PARTNER Social Security Number USA Only):		 Joint Membership Social Security Number (USA Only):

I, (PARTNER's Name) __________________________________ do hereby request to remove my name from my ClubShop Rewards Partner Membership.

 I, (joint membership)____________________________ do hereby request to remove my name from the ClubShop Rewards Partner Membership
ClubShop Rewards Partner's Signature: ClubShop Rewards Spouse/Partner Signature:
Date: Date:

The name to remain on this membership is: ____________________________, and I have read and agree to the ClubShop Rewards Partner Membership Terms of Agreement and by my signature below agree to abide by these Terms and accept this ClubShop Rewards Partner Membership.

Signature: ___________________________________________________

NOTE: This document must be notarized by a Notary Public (or the equivalent outside the USA)