5 M 13 Lions Club Activity Report 2009- 10
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..
Powered by
FormSite.com