Financial and

Financial and

Membership report                                                                                                  OUTHOUSES ONLY!

Of ClanClick here to enter text.            Outhouse#:Click

For period Ending

March 31st:Click

 

E-mail Address of Outhouse’s:  here to enter text.

 

Snail Mail Address:  here to enter text.

 

Your current initiation fee

(Includes Imperial registration fee of $10)

Fee is $Click

 

Total membership as of date above: Click here to enter text.

(Attach list of new members since last report)

               

Raban of Outhouse:  here to enter text.   Phone:  here to enter text.                     Address:  here to enter text.

 

Keeper of the Cob:  here to enter text.     Phone Click         Address: Click here to enter text.

 

Guardian of Still here to enter text.  Phone:  here to enter text. Address: Click here to enter text.

Meeting location and times:  here to enter text.

                               

Application for Charter in Grand and Glorious Order of the Hillbilly Degree, Item 4, is an agreement to turn in profits Annually to Shriners Hospitals for Children and Shriners Burns Institute or Transportation Fund!

 

Total Donated from prior years …………………………………………………   $Click

Total Donated this year ………………………………………………………………… $ Click

Items Purchased for Hospitals …………………………………………………………. $ Click                                                                                                                Grand Total to Date …………………… $Click

Use space below to list time and place of dances, Initiations, and other special events – Past or Future – and Where Donations Made!

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Click here to enter text.

 

 

 

 

 

 

________________________________________________________________________________________________Please attach a list of ALL new members for the year of this report – click next and select your Main clan e-mail to send!

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Preparer: Click here to enter text. E-Mail Address: Click here to enter text.

Next!