Zone 4
To Be Appointed
Report will be submitted to DG Dewey
doessig@yahoo.com
LIONS
DISTRICT 5M4
MONTHLY CLUB ACTIVITIES REPORT
CLUB NAMEMONTH YEAR
List below the details of your clubs’ activities, donations and volunteer service hours in the following categories. Completing this report regularly will assist you in completing the annual report to Lions Clubs International by June 30.
SIGHTS SERVICES: $
HOURS
DESCRIPTION:
HEARING SERVICES: $
DIABETES SERVICES: $
YOUTH SERVICES: $
LIONS CLUBS
INTERNATIONAL: $
COMMUNITY
SERVICES: $
OTHER SERVICE AND
FUND RAISERS: $
NEW MEMBERS:
TRANSFERS:
DROPPED:
TOTAL MEMBERS MONTH END
DECEASED MEMBER: (if more than one member use a second sheet please)
NAME:
DATE OF DEATH:
MORTUARY CONDUCTING SERVICE
MORTUARY ADDRESS:
MORTUARY PHONE
Club Secretary: Date