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REGION 5 - AREA REP ACTIVITIES
(Report to Regional Coordinator)
*
Indicates required field
Area Rep Name
*
First
Last
Date
*
Email
*
Chapter Visited
*
Date of visit
*
Location
*
# members present
*
-
1-5
5-10
11-15
16-20
21-25
26-30
31-35
36-40
41-45
46-50
# Visitors present
*
-
0
1-5
6-10
11-15
16-20
>20
Reason
*
Were all chapter Officers present?
*
-
YES
NO
SOME
Was the meeting conducted well with all Officers providing their reports?
*
-
YES
NO
Secular groups represented
*
Regional / Chapter weaknesses
*
Chapter ride plans
*
Regional / Chapter Strengths
*
Comment
*
NON-CMA Club / Organization Visits
Club / Organization
*
Date visited
*
Date called
*
Date mailed / emailed
*
Club / Organization
*
Date Visited
*
Date called
*
Date mailed / emailed
*
Submit your report
One heart at a time
✕