District 33-A ACTIVITY FORM

 



 

The District 33-A ACTIVITY FORM can be filled out online. Once all the sections are complete, the form will automatically be sent to the District Governor, Vice District Governor, Region and Zone Chairmen as well as the person who entered the data. To save a copy of the data that was entered, copy the message returned from the form into a new email message or a document and save and/or print the message/document.
 

Please fill in all fields. You may use the TAB key to navigate the form. The fields marked with * are required.

 

Please fill in the Lions Club information.
 

 

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Club Name *  
Month *  
Lions Year  
Number of Meetings Held: General  
Number of Meetings Held: Board of Directors  

 

Please fill in the Membership Information.

 
 
 
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Members from Last Report *  
New/Reinstated Members *  
Transferred Members *  
Dropped Members *  
Deceased Members *  
Members at Close of Month *  

 

 

A. CLUB FUND RAISERS * (List type of project, amount raised, Lions Attending and Man Hours)

 


 

 

B. CLUB SERVICE PROJECTS * (List type of project, Lions Attending and Man Hours)

 


 

 

C. CLUB PUBLIC RELATIONS (List PR Activity. Send articles and pictures via U.S. Mail)
Articles       Pictures       Articles with Pictures  

Other
 


 

 

D. ZONE/REGION/TRAINING/ADVISORY/CONVENTION ATTENDANCE (Note attendance of Club Officers)

 
Event       Lions Attending: No.   President Secretary Others
Event       Lions Attending: No.   President Secretary Others

 

 

E. CLUB DONATIONS (List amount, recipient,or reason for donation)
 

 
 
 
Donation amount $       Recipient/Reason  
Donation amount $       Recipient/Reason  
Donation amount $       Recipient/Reason  

 

 

F. VISITATIONS (List visitations: By your club & to your club from other clubs or district officers.)
 

 
 
 
Visitation To       Number Attending  
Visitation To       Number Attending  
Visitation From       Number Attending  
Visitation From       Number Attending  

 

 

G. UPCOMING EVENTS or OTHER CLUB INFORMATION

 


 

 

H. SECRETARY's NAME (Include address if change is appropriate)

 

 

Name *   E-Mail *  

 

 


 

Last Updated 20-October-2005/RC Dan Bonnette, District 33-A Webmaster