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                    <text>OFFICIAL
blank

This report sho
be
/forwarded
to the district sdgcret
aka

Kiwanis

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MEMBERSHIP AND ) ATTENDANCE

the total number of ACTIVE, RESERVE
in attendance,
Should no meeting
be

Membership
Active, Reserve and
Privileged:

292

First Week

Second Week

2

Attendance
| Active, Reserve
Privileged

27

SO

i

Percentage of Attendance for Month

CLUB MEETING PROGRAMS
Date
Speaker

A

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INTER-CLUB
number

RELATIONS

joan v4

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COMMITTEES
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and PRIVILEGED
members
on your roll
held, give the total number
of members

=

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each
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and
and

in the
record

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Attendance
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Fitth Week

3a.

a

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:
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attendance.

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ternational
ellow to be retained by the,séofetary.

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inter-club relations, including inter-club meetings.
In reporting inter-club meetings,
present, and the number of your club members attending, and any special features.

Kina

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No. of Meetings

(Use next page for additional committees

niuenr

mets

but

Business Transacted

and reporting activities.)
This copy to be retained

for your files

Remarks

indicate

date,

place,

�COMMITTEES

(Continued )

*

SOCIAL. ACTIVITIES.

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of

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RELATION
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report

jens =

DISTRICT AND

attendance at. divisional,

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INTERNATIONAL

digsgict,

and, pictesnstiqnal

meetings,

—

district

ACTIVITIES—INCLUDING THOSE ON INTERNATIONAL

cqptacts,

date

OBJECTIVES,

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PUBLIC

reports,

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of. dues

AFFAIRS,

ETC.

shildsen

.All other

Under various headings below report the definite activities such as under-privileged child, boys’ a
girls’ work, citizenship, park and urban
relations, vocational guidance,
community affairs and welfare, business standards and other social and civic work instituted and carried out by
the club through its own initiative.
It will also include any such activities in which the club has cooperated with other organizations or agencies,
not by mere resolutions or votes of approval, but by cooperative activities in which the members of the club have actually eee

1.

_Under-Privileged Child .

2.

Boys and Girls Work

Here report all activities pertaining
welfare should be reported under “2. Boys

Here

report all child welfare work

peg
to ie. mental, moral,
and Girls Work.”

except

that

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spiritual

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under-privileged

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©

-

�Kiwanis Club of.

Le

Month o

The receipt of the proper form at International Headquarters on or
for the following month to members added.
If received after the 10th your
the current issue.

onth, will insure delivery of The Kiwanis Magazine
receive the magazine until the second month after

n

Additions

Name

of

;
:
Classification

Member

Kind

Date of
addition

Address

ge

of

og _ | If former
Name

Kiwanian
Club

7

Suspended

members
If deleted

Name of Member

Deletions

should not be reported as deleted until they are officially
members have moved to another city, if possible give us

Classification

dropped from
new address.

Address

-_

the

chub.

Kind of

of | Member-

leletion

Reason

ship

Changes of Classification
ee

Former

emer

Present

Classification

Classification

:

—-

Date of
Change

Kind

of

Membership

|
|

2

|

e

|

Changes of Address

|
|

Name

2

of

Member

ss

Classification

:

New

Address

Old

Address

Cae

|

|

:

.

(Non-members,
Name

of

Member

Additional

libraries,

clubs,

Former
Subscriber
(Yes.
No)

Subscriptions to Magazme

hospitals,

Members Complaining
Name

[Signed]

of

Member

- oe
lap d((me
*

Issue Not

and

h _

President.

institutions

Address

only)
Annual

or Permanent

of Non-Receipt of Magazme
Address

Received

s
( Bre

other organizations

[Signed].

Remarks

Secretary

�</text>
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                    <text>eok
OQ

gin}
Voldwater,

Michigan,

October 27, 1936.

for

the

of

president

spt

office

the

Kiwanis

Coldwater.

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10.

VEAZAZ,

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2

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a

Club of

�</text>
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