MONTHLY MEMBERSHIP AND ACTIVITIES REPORT - DISTRICT LEVEL

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PLEASE INDICATE BELOW THE NUMBER OF MEMBERS IN EACH CATEGORY.
ACTIVE:
MEMBERS AT LARGE:
HONORARY:
LIFE:
AFFILIATE: 		PLEASE ENTER NUMBER OF MEMBERS DROPPED FOR EACH REASON LISTED. ONE REASON FOR EACH DROPPED MEMBER NAME.
1. RESIGNED IN GOOD STANDING.
2. DROPPED FOR NONPAYMENT OF DUES.
3. DROPPED FOR NON ATTENDANCE.
4. TRANSFERED IN GOOD STANDING
5. MOVED (DUES UNPAID)
6. DECEASED
7. OTHER (PLEASE SPECIFY)
8. TOTAL (MUST AGREE WITH TOTAL DROPS) LIST ALL NAMES BELOW.
MEMBERS FROM LAST REPORT
A   NEW MEMBERS (SHOWN BELOW)
B   REINSTATED MEMBERS
C   TRANSFER MEMBERS ACCEPTED (INDICATED FROM FORMER CLUB)
TOTAL BEFORE DEDUCTIONS
AVERAGE MONTHLY ATTENDANCE PERCENT ACTIVE MEMBERS ONLY: %
NUMBER OF COMPLETED ACTIVE SERVICE ACTIVITIES
NUMBER OF BOARD MEETINGS HELD
D   DROPPED FROM MEMBERSHIP (LIST NAME AND REASON BELOW)
MEMBERS AT CLOSE OF MONTH INCLUDES ALL MEMBERSHIP CATEGORIES
   
     
CLUB MEETS (CHECK ONE):
WEEKLY SEMI MONTHLY. MONTHLY
Club Name: Month: Year:
Secretary's Name Phone: Address
City: PA, Zip

MEMBERSHIP INFORMATION
NEW MEMBERS LIST ALL NEW MEMBERS AND THEIR SPONSORS BELOW (PLEASE INDICATE CATEGORY A=NEW, B=REINSTATED, C=TRANSFER IN)
 CATEGORY ADDED MEMBERS NAME (ex. joe smith) SPONSOR
CATEGORY ADDED MEMBERS NAME (ex. joe smith) SPONSOR
CATEGORY ADDED MEMBERS NAME (ex. joe smith) SPONSOR

DROPPED MEMBERS - LIST DROPPED MEMBERS AND REASON FOR DROP (SEE CODES ABOVE) BELOW
NAME REASON NAME REASON NAME REASON

ACTIVITES - REPORT SERVICE ACTIVITIES, FUND RAISING, AND UPCOMING EVENTS IN THE SPACE BELOW:

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