Zone 10 South


Monthly Membership and Activities Report

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For your convenience if you are having difficulties with the electronic report

___________________________________________________________________________________________________________

* or red outline/type indicates required fields

 

*Ident.
*Club No.

*Date

*Club Name         
*Secretary's Name
*Secretary's E-Mail Address

*Address


*Total

Entire Table Below Required

Please indicate below the number of
members in each category
Active                     
Members at Large     
Affiliate                     
Honorary                 
Life                         
Privileged                


Average Monthly Attendance(in %)       
Number of Completed Service Activities
Number of Board Meetings held           

Club Meets

(D)Club Use-Please fill out in full

Please enter number of members dropped for each reason listed. One
Reason only for each dropped name.

1. Resigned in Good Standing
2. Dropped for non-payment of dues
3. Dropped for non-attendance
4. Dropped for non-attendance and
                non payment of dues
5. Transferred in Good Standing
6. Moved (dues unpaid)
7. Deceased
8. Other (please specify)
9. TOTAL (must agree with total number of drops)
List all names in the dropped members section

 


Total
Members from Last Report    
Transaction Code
A New Members (shown below)  
B Reinstated Members         
C Transfer Members Accepted
(list name of former club below)
( if dropped over 6 months add as new) 
Total before Deductions       
D Dropped from Membership
Members at close of month  

 


List Below all new Members, drops and changes of address. Names of Members must be given
in all cases or changes cannot be made. Transaction codes: A=New, B=Reinstated
C=Transfer Ins, E=Changes of Address, F=Change of Name, former name in parentheses

Transaction Code
Added Members Name
Mailing Address
City
Province/State
Postal/ZIP Code
Gender
Year of Birth
Occupation
Sponsors Name
Former Club
E-Mail Address

Transaction Code
Added Members Name
Mailing Address
City
Province/State
Postal/ZIP Code
Gender
Year of Birth
Occupation
Sponsors Name
Former Club
E-Mail Address

                                    

Transaction Code
Added Members Name
Mailing Address
City
Province/State
Postal/ZIP Code
Gender
Year of Birth
Occupation
Sponsors Name
Former Club
E-Mail Address




Enter Dropped Members Below. The codes for reasons for drops are listed above (see D)
Member #
Name
Reason Code



Report Service Activites when completed, Fund Raising Activites only if outstanding.

*Club Presidents Name:


 

 

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