Forms - Council Retention Quarterly Delinquent Member Report
Due by
: 15th of July, October, January, April
Council No.
:
District No.
:
Select District Number
1
2
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4
5
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7
8
9
10
11
12
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15
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Council Name
:
Quarter
:
Select Quarter Reporting
1 - July / September (Report Due: October 15th)
2 - October / December (Report Due: January 15th)
3 - January / March (Report Due: April 15th)
4 - April / June (Report Due: July 15th)
Number of members delinquent 90 days
:
Number of members delinquent 120 days
:
Number of members delinquent 150 days
:
Number of members delinquent 180 days
:
Number of members delinquent more than 180 days
:
Retention Committee Chairman
:
Retention Committee Member
:
Retention Committee Member
:
Retention Committee Member
:
Grand Knight
:
Grand Knight Email
:
Your Name
:
Your Email
: