ROTARY CLUB NAME:   

MONTH OF:

TOTAL MEMBERSHIP AT END OF MONTH:   

AVERAGE ATTENDANCE PERCENTAGE FOR THE MONTH: 

NUMBER OF MEETINGS HELD:   

NEW MEMBERS THIS MONTH (Please List Names): 

NEW PAUL HARRIS FELLOWS THIS MONTH (Please List Names): 

NUMBER OF MEETINGS CANCELED:      DATES OF CANCELED MEETINGS:   

REASON FOR CANCELING MEETING(S): 

CLUB SECRETARY:

Please submit report before the 10th of the Month following the Report Month

INFORMATION NEEDED ABOUT YOUR CLUB ON JUNE 30, 2007

(NOTE: YOU ONLY NEED TO SUBMIT THIS INFORMATION ONCE EACH ROTARY YEAR)

NUMBER OF MEMBERS IN YOUR CLUB:   

NUMBER OF PAUL HARRIS FELLOWS IN YOUR CLUB: 

NUMBER OF BENEFACTORS IN YOUR CLUB:   

NUMBER OF SUSTAINING MEMBERS IN YOUR CLUB:    

Note:  You may mail a copy of this form (need to print a copy now) to the District Administrative Assistant.  If you wish to send this form by e-mail please click on the submit button below.  It will be automatically sent to the Administrative Assistant.

District Administrative Assistant:  Kipa Koenning, 2404 Yonkers Street, Plainview, Texas 79072, (806) 293-5111 (B); (806) 296-5085 (H); (806) 470-0499 (C); (806) 296-2053 (Fax)

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