Chapter Name ________________________________      No. ____________
City  __________________________________________________
Chairman (or person completing report)  ______________________________

Please complete each item, even if your answer is zero.

1. Number of hours volunteered: _____________________
    Value of hours ($1.00 per hr.)$_____________________
     Description: ________________________________________
 ___________________________________________________
 ___________________________________________________

2.  Number of donations of food, clothing, etc. ____________
     Value of donations: $___________
     Description: ________________________________________
 ___________________________________________________
 ___________________________________________________

3. Number of monetary donations:  $_________
     Value of donations: $___________
    Description: ________________________________________
 ___________________________________________________
 ___________________________________________________
 
4. We “CAN” Project: No. of items donated:   _________________
    Weight in lbs. of food  _________________lbs.
    Food Donated to:  ________________________

5. OTHER: ______________________________________________________

Some Suggested Areas of Benevolent Activities Work: Hospitals, Nursing homes, Cancer Centers, Shelters, Soup Kitchens, Child Care Centers, Meals on Wheels, Red Cross Blood Drives, Salvation Army, Goodwill, Flood & Hurricane Centers, MS & MD drives, Habitat for Humanity, Scouts, Special Olympics, etc.  (If more space is needed, use a separate sheet.)

Send Report to Chairman by August 15th

Susie E. Toal, Chairman
1401 Newton Rd.
Ferris, Texas 75125-9457
Email: glensuzy@ectisp.net   (972-842-2729)