|
MONTHLY MEMBERSHIP AND ACTIVITIES REPORT - DISTRICT EMAIL BY LAST DAY OF MONTH Send copies to: 1. District Governor. 2. Vice District Governor 3. Your Region Chairman. 4. Your Zone Chairman. 5. Your Club Secretary. | |||||||||
|
How to Use: 1. Go to File -Send Page by email. 2. Fill in form. 3. Send to appropriate email addresses | |||||||||
|
|
Club Name |
| |||||||
|
|
Date: Month/Year |
| |||||||
|
|
Secretaries Name |
| |||||||
|
|
Home Phone |
| |||||||
|
|
Address |
| |||||||
|
|
Address (cont ) |
| |||||||
|
|
City |
| |||||||
|
|
State |
Pennsylvania | |||||||
|
|
Zip Code |
| |||||||
|
|
E-Mail: |
| |||||||
|
|
|
|
|
|
|
|
|
|
|
|
Please indicate the numbers in each category |
|
|
|
Please enter number of members dropped for each reason. |
|
|
|
|
|
|
Active |
|
|
1 |
Resigned In Good Standing |
|
|
|
Members from last report |
|
|
Members at large |
|
|
2 |
Dropped for non-payment of dues |
|
|
A |
New Members (Shown below) |
|
|
Honorary |
|
|
3 |
Dropped for non-attendance |
|
|
B |
Reinstated Members |
|
|
Life |
|
|
4 |
Dropped for non-attendance and non-payment of dues |
|
|
C |
Transfer Members Accepted. Please indicate name of former Club below |
|
|
Privileged |
|
|
5 |
Transferred in good standing |
|
|
| ||
|
Affiliate |
|
|
6 |
Moved(Dues unpaid) |
|
|
| ||
|
Average Monthly Attendance % Active Members Only |
|
|
7 |
Deceased |
|
|
D |
Total Before deductions |
|
|
Number Of Completed Service Activities |
|
|
8 |
Other (Please specify) |
|
|
|
Dropped from Membership |
|
|
Number Of Board Meetings Held |
|
|
|
|
|
|
|
|
|
|
Club Meets A = Weekly, B = Bi-Monthly C = Monthly |
|
|
9 |
Total Drops (List Names Below) |
|
|
Members at close of month. Includes all membership categories |
| |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
NEW MEMBERS |
|
|
|
|
|
|
|
|
|
|
List all new members and their sponsors below |
Please indicate Category: A=New, B=Reinstated, C=Transfer In |
|
| ||||||
|
Name of New Member |
Sponsor |
Category |
|
| |||||
|
|
|
|
|
| |||||
|
|
|
|
|
| |||||
|
|
|
|
|
| |||||
|
|
|
|
|
| |||||
|
|
|
|
|
| |||||
|
|
|
|
|
|
|
|
|
|
|
|
Dropped Members |
|
|
|
|
|
|
|
|
|
|
List dropped members and reason for drop (See Codes above :1 thru 8) |
|
|
|
|
|
| |||
|
Name |
Reason |
|
Name |
Reason |
|
Name |
Reason | ||
|
|
|
|
|
|
|
|
| ||
|
|
|
|
|
|
|
|
| ||
|
|
|
|
|
|
|
|
| ||
|
|
|
|
|
|
|
|
| ||
|
|
|
|
|
|
|
|
|
|
|
|
| |||||||||
|
Activities (When you get to end of a line please hit return) | |||||||||
|
1. | |||||||||
|
| |||||||||
|
| |||||||||
|
| |||||||||
|
| |||||||||
|
| |||||||||
|
| |||||||||
|
| |||||||||
|
| |||||||||
|
| |||||||||
|
| |||||||||
|
| |||||||||
|
| |||||||||
|
| |||||||||
|
| |||||||||
|
| |||||||||
|
| |||||||||
|
| |||||||||