Fillable Member Record Form MemberRecordForm

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Member Record Form MemberRecordForm

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MEMBER’S RECORD
SERVICE
RECORD
ATTENDANCE RECORD
√ PRESENT Ε EXCUSED
∅ ABSENT ⊗ ATTENDANCE MADE UP
YEAR YEAR YEAR
MO 1 2 3 4 5 MO 1 2 3 4 5 MO 1 2 3 4 5
OCT
OCT OCT
NOV
NOV NOV
DEC
DEC DEC
JAN
JAN JAN
FEB
FEB FEB
MAR
MAR MAR
APR
APR APR
MAY
MAY MAY
JUN
JUN JUN
JUL
JUL JUL
AUG
AUG AUG
SEP
SEP SEP
MTGS. ATTENDED
%
MTGS. ATTENDED
%
MTGS. ATTENDED
%
BIRTHDAY BIRTHPLACE SPONSOR
SPOUSE’S NAME SPOUSE’S BIRTHDAY ANNIVERSARY
HOME ADDRESS HOME PHONE
FIRM POSITION
BUS. ADDRESS BUS PHONE
CLASSIFICATION DATE ACCEPTED
YEAR YEAR YEAR
MO 1 2 3 4 5 MO 1 2 3 4 5 MO 1 2 3 4 5
OCT
OCT OCT
NOV
NOV NOV
DEC
DEC DEC
JAN
JAN JAN
FEB
FEB FEB
MAR
MAR MAR
APR
APR APR
MAY
MAY MAY
JUN
JUN JUN
JUL
JUL JUL
AUG
AUG AUG
SEP
SEP SEP
MTGS. ATTENDED
%
MTGS. ATTENDED
%
MTGS. ATTENDED
%
CHARGES
DATE
ITEM
DUES MISC.
CREDIT BALANCE
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Member Record Form MemberRecordForm

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Completed 3 July 2020

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