Club Monthly Membership Summary Rev 3/26/24

Items with an ** are REQUIRED!

Today's Date * * +

Month Being Reported * *

Club Number * *

Your Name * *

Your email address * *

State Association Secretary Email * *

Additional Copy To:

PLEASE do not CC the HTI Secretary as he gets a copy automatically when you click on submit!

Select 1 HTI ZONE Officer for your STATE or COUNTRY This is a Required Field **

Rick Santella, President RICK@HIGH12.ORG
     Zones: DC, HI, JP, ME, UK, Brazil, Presidents Club
Roberto M. Sanchez, 1st VP ROBERTO@HIGH12.ORG
     Zones: MO, NCA, FL, AZ
Jared Kichline, 2nd VP JARED@HIGH12.ORG
     Zones: NJ, MI, OH, KS, IN, TX
Conrad Dombkiewicz, 3rd VP DARRIN@HIGH12.ORG
     Zones: CA, CO, PA, LA, IL

*

	rick@high12.org	roberto@high12.org	jared@high12.org	darrin@high12.org
** Select ONE email	rick@high12.org	roberto@high12.org	jared@high12.org	darrin@high12.org

All membership number fields are REQUIRED (**) REGULAR Membership

Regular Members - are those members NOT living in a Grand Lodge sponsored facility * *

	Prior EOM	+ New	+ Reinstated	- Dropped	= EOM Total
Regular Members	Prior EOM	+ New	+ Reinstated	- Dropped	= EOM Total

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	Prior EOM	+ New	+ Reinstated	- Dropped	= EOM Total

End of Month Total Membership [Regular plus Masonic Home]

End of Month Membership Summary * *

	+ Regular Members	+ Masonic Home Members	= Total CLUB Membership
Grand Total =	+ Regular Members	+ Masonic Home Members	= Total CLUB Membership

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

No changes to be reported this month.

Weekly Attendance - optional

Enter Weekly Attendance

	Wk 1	Wk 2	Wk 3	Wk 4	Wk 5
Members	Wk 1	Wk 2	Wk 3	Wk 4	Wk 5
Guests	Wk 1	Wk 2	Wk 3	Wk 4	Wk 5

Donations - Financial and Time

	Wolcott	DeMolay	Job's	Rainbow
Dollars	Wolcott	DeMolay	Job's	Rainbow
Time	Wolcott	DeMolay	Job's	Rainbow

Supplemental Membership Information - provide name address, phone numbers and EMAIL ADDRESS, include effective date! For drops it is sufficient provide the membership # only.

#1 Type of Change

#1 Reason for Resignation:

#1 New Member Recommended By:

#1 Member details here: [name, address, email, phone(s), date (joined/reinstated/dropped/died]

0/225 characters

#2 Type of change

#2 Reason for Resignation:

#2 New Member Recommended By:

#2 Member member details here: [name, address, email, phone(s), date (joined/reinstated/dropped/died]

0/225 characters

#3 Type of change

#3 Reason for Resignation:

# 3 New Member Recommended By:

#3 Member details here: [name, address, email, phone(s), date (joined/reinstated/dropped/died]

0/225 characters

#4 Type of change

#4 Reason for Resignation:

#4 New Member Recommended By:

#4 Member details here: [name, address, email, phone(s), date (joined/reinstated/dropped/died]

0/225 characters

#5 Type of change

#5 Reason for Resignation:

#5 New Member Recommended By:

#5 Member details here: [name, address, email, phone(s), date (joined/reinstated/dropped/died]

0/225 characters

#6 Type of change

#6 Reason for Resignation:

#6 New Member Recommended By:

#6 Member details here: [name, address, email, phone(s), date (joined/reinstated/dropped/died]

0/225 characters

#7 Type of change

#7 Reason for Resignation:

#7 New Member Recommended By:

#7 Member details here: [name, address, email, phone(s), date (joined/reinstated/dropped/died]

0/225 characters

#8 Type of change

#8 Reason for Resignation:

#8 New Member Recommended By:

#8 Member details here: [name, address, email, phone(s), date (joined/reinstated/dropped/died]

0/225 characters

#9 Type of change

#9 Reason for Resignation:

#9 New Member Recommended By:

#9 Member details here: [name, address, email, phone(s), date (joined/reinstated/dropped/died]

0/225 characters

#10 Type of change

#10 Reason for Resignation:

#10 New Member Recommended By:

#10 Member details here: [name, address, email, phone(s), date (joined/reinstated/dropped/died]

0/225 characters

Additional Comments

Enter any additional comments or information here.

0/560 characters

You and your Association Secretary or HTI President and HTI Zone Officer 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.

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Any F-200a required ** fields that are not filled out correctly
will be marked in RED, make corrections and submit again.