5 M 13 Lions Club Activity Report 2008 - 09

Club Name & Location

Club Secretary's Name

Email Address

Telephone/Fax #

Todays date DD-MM-YYYY

Club Number

Zone

Members last month

Members dropped

Reporting month of:

Members at
close of month

Members
added

Name of Member Added/Address/Member #(if available)/Sponsor

Name of member Dropped/Address/Reason

List Community Work Projects

Hours

Amt raised/donated

List Club Fundraising Projects / Activities

Hours

Total amt raised

Donations were made to the following

Total amount of Donations

Number of eyeglasses collected most recently

This form will be submitted electronically to your District Governor, Zone Chair and District Secretary.

Club Secretaries please print a copy, for own records..

Zone 2 Clubs please print an additional copy and forward to :-

Lion Art Ainsworth,
Box 33,
Garland, Mb.
R0L 0W0


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