Life Member Verification Report 2020
Enter email of submitting Officer:
Email address *
Life Member Verification Report 2020
Unit Number and State *
Please list any deceased members that are included on the Unit's June 30th roster. Include member number and date of death.
Please list any members included on the Unit's June 30th roster that have transferred out of your Unit. Include member number.
Number of Regular Members on June 30, 2020 Unit roster:
Number of Junior Members on June 30, 2020 Unit roster:
Number of Associate Members on June 30, 2020 Unit roster:
Unit's Total Membership
By checking the box below, I certify that I am the Secretary of the Unit and the above information is correct as of June 30th, 2020. All exceptions (deceased and/or transferred members) have been noted above.
Name of Secretary or of submitting officer and Unit title.
Please note:
A copy of your responses will be emailed to the address you provided.
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