MMR Region 2A

E-Mail Address *

Secretary Name *

Report Month *

Club Name *

Members Last Report

New Member(s) This Month

New Member(s) Name and Sponsor

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

Re-Instated Members This Month

Re-Instated Members Name

Transfer Member(s) This Month

Transfer Member(s) Name and Club

E.G.: Lions Name - Transfer from Lions Club

Drop Member(s) This Month

Drop Member(s) Name & Reason

E.G.: Non-Payment of Dues, Non-Attendance, Transfer to (Club Name), Resign in Good Standing, Death

Total Members END THIS MONTH

CLUB ACTIVITES

Per Capita Dues Paid? - Fundraisers? Service Projects?

Enter the words into the form below . . .