1. Personal Details

Enter your full names.
Enter a valid phone number.
Enter a valid email.
Enter your Client ID.
Enter your Account Type.
Select a closure date.

2. Account Closure Details

Please provide a reason for closure.
Please select a method.
Enter a valid account balance.

3. Terms And Conditions

To proceed, you must read and accept our Membership Terms And Conditions

By submitting this form, I here by authorize Konnect Initiatives to close my account listed above. In consideration of Konnect Initiatives closing the said account, I hereby irrevocably agree to indemnify, hold harmless and defend Konnect Initiatives, its successors or assigns from and against any liability, loss, claims, legal action, demand, expenses, costs or damages that may arise in connection with Konnect Initiatives closing the said account(s).

You must accept the terms and conditions to proceed.