Identification

1. Reporting for the month of

2. Club Name

3. Report Submitted by

4. Number of Members Number attending this month Frequency of Meetings (ie.

monthly,weekly) 

Membership Details

5. New Member Names and Addresses

6.What ' if any' service to your community this month

7.What ' if any' service to your community this month 

8.What ' if any' service to your community this month 

9. What, if any, service to your community this month 

10  Donations, if any , and to whom 

11.  Any Fund Raising Projects, if so, list them

12. Additional Comments 

When you click on the SUBMIT button below this report will be sent automatically to Y's Menette Regional Director.