MPT Membership Cancellation Request

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please complete this form to initiate your cancellation request. A Member & Viewer Services representative will contact you within three business days. You may also email membership@mpt.org or call 410-581-4292.

Email *

First Name *

Last Name *

Phone Number *

How would you like to be contacted? *

Phone

Please let us know why you are cancelling your membership.

I moved out of the area.

Unfortunately, my budget requires my cancellation but I hope to support MPT in the future.

At this time, I cannot increase to $8 per month or $96 a year to retain access to MPT Passport

I know longer wish to support MPT.

Other:

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of State of Maryland.

Does this form look suspicious? Report

Forms