Chapter Name and Number _________________________________________________

City: __________________________________

1. Confederate Flag displayed at each chapter meeting Yes _____  No ______
    At how many meetings was the flag saluted? __________

2. Special projects to promote the use of the Confederate Flag(s)? Yes ___ No ____
     If so, explain:_____________________________________________________

3. Confederate Flags placed at gravesites on Memorial Days: Yes ____ No ____
    If yes, how many days: __________.  Name them and list the number of flags placed at each:
    ______________________________________________________________________

4. Did your chapter or a member of your chapter participate in the General “Massing of the Flags”?
     Yes ____ No ____  If so, how many members participated?_____

5. Did your chapter or District sponsor a “Massing of the Flags” ceremony? Yes _____ No _____

6. Does your Chapter have a Chapter Flag? Yes ____ No _____

7. Number of Confederate Flags flown on other days by members of your Chapter: _____

8. How many members of your chapter fly the Confederate Flag on a daily basis: ____

9. Number of Confederate Flags placed on or at a Confederate Monument: _____

10. Number of Parades in which your chapter participated and either carried or flew the Confederate Flag: ______

11. Number of brochures “Our Confederate Flag” given to students: _____  At how many schools?______

12. Number of brochures “Our Confederate Flag” given to members:______________

13. Did your chapter have a program on the “Correct Use of the Confederate Flag”? Yes _____ No ______

14. Do  you or a member of your chapter wear a Confederate Flag pin of any kind outside the UDC or any of its
      activities?      Yes ____ No ______

15. Number of Non-UDC people you or a member of your chapter personally talked to concerning the flag,
      its history or its use. ___________

16. Did you or a member of your chapter write to a state representative or other party regarding the display,
       (Possibly, the removal from a public place) of a Confederate flag? Yes _____ No _____
       If so, are you aware of the outcome of the proceedings.  For example: Was the flag removed from the monument,
       building, land, etc.?__________________________________________________________________
       Are plans being made to replace it?  Yes ____ No _____

17. Did you or a member of your chapter write a letter to a group or organization (such as a Cemetery
       Association) thanking them for flying or displaying the Confederate Flag?  Yes _______ No _______

Thank you for taking the time to complete and return this report form. All reports are to be submitted by August 15th.

Mail to:
Sandi Sprawls
9019 Mauna Loa Ln.
Houston, Texas 77040-1512

Please note:  Brochures on the “Correct Use of the Confederate Flag” may be ordered from the UDC Business Office, Richmond, VA.  Please use appropriate forms when ordering.