Submit Rpt Online

	High Twelve International Secretary's Online Monthly Report Data Entry Form

	Enter all data necessary for your report, then press the SUBMIT button.
	You will receive a confirmation message.
	If the form is in error, contact the Administrative Assistant ASAP via E-mail
	( Use TAB Key Or Mouse To Move Between Entry Fields )

(If New President, Check Box)

President: Phone #: ( Include Area Codes On All Numbers )

Address:

City: State: Zip + 4: - E-mail

(If New Secretary, Check Box)

Secretary: Phone #:

Address:

City: State: Zip + 4: - E-mail

Masonic Representative: Phone #:

Address:

City: State: Zip + 4: + E-mail

Wolcott Representative: Phone #:

Address:

City: State: Zip + 4: E-mail

(1) New Member - Address - City, State, Zip+4 - Date Added

(2) Reinstated Member - Address - City, State, Zip+4 - Date Added

Member Dropped - Address - City, State, Zip+4 - Date Added

Change Of Address - Address - City, State, Zip+4 - Date Added

Remember: To send a check to the International Office with a copy of your report form for all new members and reinstated members reported.

Keep One Copy Of This Information For Your Club Records &

Send One Copy To Your State Secretary!