Reporting Quarter *
Reporting Temple *
Oasis of *
Temple Director *
Your answer
Phone # *
Your answer
Email Address *
Your answer
# of Nobles on the rolls *
Your answer
# of Financial Nobles *
Nobles in good financial standings
Your answer
# of Personal Home Visits *
Your answer
# of Members Recruited *
Your answer
# of Nobles Reclaimed & Reinstated *
Your answer
# of Nobles Suspended *
for Non-Payment
Your answer
# of Nobles lost by Death *
Your answer
# of Nobles Transferred In *
Your answer
# of Nobles Transferred Out *
Your answer
Additional Comments *
Your answer
Signature of Illustrious Potentate
Your answer
Signature of Temple Recorder
Your answer
Submitted by *
Your answer
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