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

Club Monthly Membership Summary

Items with an * are REQUIRED!
calendar

REGULAR Membership - Required

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 - Required

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] Required

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'sRainbowEnsign MayoFrank S. Land
Dollars
Time

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

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Additional Comments

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You and your association secretary 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.
 
The FEE is $3.00 for each NEW and REINSTATED
Member payable to High Twelve International
By Check or PayPal
I will use PayPal to make the fees payment.
Visa
Secured by Formsite
To be filed after the last meeting of the month, each month.

New & Reinstated Members - pay online or send check made out to High Twelve International for $3.00 per member and mail to the International Office.
 
It is not necessary to USMail a copy of this form to the International Office!
 
High Twelve International, Inc.
11404 W Olive Drive
Avondale AZ 85392-4210
623.239.6170
www.high12.org
All rights reserved 2014-17