MMR DELCO REGION ZONE B

Club Name *

Report Month/Year *

e.g. -- 06/2011

Secretary Name *

E-Mail Address *

Members LAST REPORT

NEW Member(s)

NEW Member(s) Name & Sponsor

E.G.: New Lions Name - Sponsor Lions Name

RE-INSTATED Member(s)

RE-INSTATED member(s) Name(s)

TRANSFER IN Member(s)

TRANSFER IN Member(s) Name & Club

E.G. Lions Name - Transfer from Lions Club

DROPPED Member(s)

DROPPED Member(s) Name & Reason

Non-Payment Dues - Non Payment Dues & Attendance - Resigned in Good Standing - Death

TOTAL MEMBERS THIS MONTH

ACTIVITIES

Fundraisers - Service Projects - Per Capita Taxes Paid?

Enter Text in Box Below & Submit