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Click here to file the monthly membership report or the annual PU101 at Lions International .


Monthly Membership and Activities Report

Secretary's Name  
Club Name  
Email Address  
Month and Year  
Please indicate the number of members in each category Active                                                 
Members at Large 
Honorary 
Life 
Affiliate 
Average monthly attendance percent active members only  
Number of completed service activities  
Number of board meetings held  
Club meets (check one) Weekly  
Semi-monthly  
Other  
Please enter the number of members dropped for each reason listed.  One reason only for each dropped name. Code
   1.     Resigned in good standing
   2.     Non-payment of dues 
   3.     Non-attendance 
   4.     Non-attendance and non-payment of dues 
   5.     Transferred in good standing        
   6.     Moved (dues unpaid)   
   7.     Deceased 
   8.     Other (please specify)   
Total dropped from membership (must agree with total drops) 
Please list all dropped members' names and the reason for the drop (see codes above)
Name #1
Name #2
Name #3
Members from last report  
A.  New members (list below)
B.  Reinstated members
C.  Transfer members accepted from another club Number            Name of former club 
Total members before deductions  
D.  Dropped from membership
Members at close of month  
Membership Information

New Members:  List all new members and their sponsors below.  Please indicate the category:  A=New, B=Reinstated and C=Transfer in
New Member #1 Category     Name 
  Sponsor 
New Member #2 Category     Name
  Sponsor 
New Member #3 Category     Name 
  Sponsor 
New Member #4 Category     Name 
  Sponsor 
Please report service activities, fund raising activities and upcoming events
 

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