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Lions District 39W


Club Activity Report
DISTRICT 39-W  2007-2008
District Governor Lion Darrell Hatfield
 

Club Name  Report for month of

Submitter's email address:

Submitted by (name): 

Members:

DATE # New Lions # Dropped Total

Club Meetings:

DATE # Lions # Guests Program Description

Training:

DATE # Lions # Hours Program Description

Club Bulletin or Newsletter:

DATE or # of  Newsletters

Comments On Your Club's Monthly Activities:  
  Attach additional paper if necessary.)
 (for Example: Give us information on what your club did this month for the community; what you would like to see in the newsletter. 
Visitations:

Club Visited # Lions Club Visited # Lions


Services Provided:
Sight & Hearing: Youth:
Vision Screening Hrs.   Hrs. Leo Club Hrs   Hrs.
# Used Eyeglasses Collected    # Peace Poster Contest Hrs.   Hrs.
Used Eyeglasses Sorting Hrs.   Hrs. Patriotism Contest Hrs.   Hrs.
Hearing Screening Hrs.   Hrs. Scholarships $   $
Used Hearing Aids Collected   # Scouting Hrs.   Hrs.
Foundation Donation $   $ Youth Exchange   Hrs.
# Eye glasses/Exam Purchased   # Other Youth Project Hrs.   Hrs.
Leader Dog Donation $   $ Other Description*  
Other Description*   * Other Hrs. for above   Hrs.
* Other Hrs. for above   Hrs. * or Other $ for above   $
* or Other $ for above   $
   
Health: Community:
Diabetes Education Hrs.   Hrs. Aid to Elderly Hrs.   Hrs.
Health Faire Hrs.   Hrs. Community Cleanup Hrs.   Hrs.
MSU Operation Hrs.   Hrs. Community Project Hrs.   Hrs.
Other Description*   Recycling Hrs.   Hrs.
* Other Hrs. for above   Hrs. Veterans Project Hrs.   Hrs.
* or Other $ for above   $ Other Description*  
* Other Hrs. for above   Hrs.
* or Other $ for above   $

Mail or file on line (www.lions39w.org) by the 5th of the month:
Original - Mail to DG Darrell Hatfield, 121 S 650 E, Burley, ID  83318
Copy 1 - Mail to Zone Chairman
Copy 2 - Keep for you club file (use in compiling A-1 Report)


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