High Twelve International, Inc.
F-200a Monthly Report Form
For Reporting Changes In Membership

Club Monthly Membership Summary R-1/25/18

Items with an ** are REQUIRED!
 +

The MARCH report SHALL have the actual membership numbers entered as March is the basis month used for per-capital billing.

If there are NO changes [adds, drops, address/email updates] to report this month, check the box, scroll to the bottom, click on continue; confirm, you are done.

REGULAR Membership

Regular Members - are those members   NOT   living in a Grand Lodge sponsored facility
 Prior EOM+ New+ Reinstated- Dropped= EOM Total
Regular Members

MASONIC HOME Membership

Masonic Home Members - are those members that   DO   live in Grand Lodge sponsored facility
 Prior EOM+ New+ Reinstated- Dropped= EOM Total
Masonic Home Members

End of Month Total Membership [Regular plus Masonic Home]

End of Month Membership Summary
 + Regular Members+ Masonic Home Members= Total CLUB Membership
Grand Total =

Weekly Attendance - optional

Enter Weekly Attendance
 Wk 1Wk 2Wk 3Wk 4Wk 5
Members
Guests

Donations - Financial and Time - Optional

Donations - Financial and Time
 WolcottDeMolayJob'sRainbow
Dollars
Time

Supplemental Membership Information - provide name address, phone numbers and EMAIL ADDRESS! For adds and drops include effective date!

NEW for this year: Please enter the members name that recommended the NEW MEMBER for membership and he will receive a special lapel pin from the International President.

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Additional Comments

0/400 characters

You and your Association Secretary OR HTI President will receive a detailed email of your submission automatically. You can also send up to 3 additional copies of this submission to anyone you choose.

 
If required  **  fields are not filled out
you cannot submit the form until corrected.

Missing information will be marked in RED.

https://info.affinipay.com/rs/433-TWV-220/images/PayWithAffiniPay_ALL.png

Make your payment via Affinipay (no account needed) of $3.00 for each new or reinstated member by clicking the link below - PLEASE enter your club number and name in "reference line" under the dollar amount to pay:

High Twelve International Inc.
Fee Payment

Secured by Formsite
To be filed after the last meeting of the month, each month.

New & Reinstated Members - pay online $3.00 per member.
 
It is not necessary to USMail a copy of this form to the International Office!
 
High Twelve International, Inc.
PO Box 2363
Sun City AZ 85372-2363
623.239.6170
www.high12.org
All rights reserved 2014-22