Report for Deaths, NPD, etc. from Secretaries of Louisiana Masonic Lodges

Note: if you have no Activity to Report for this Month, please click this line.

 

    Report Month

    Year

    Lodge Name & Number

    Your Full Name

    Title

    Your Email (required)

    Membership

    Membership Beginning of Month

    Total Gain for Month

    Total Losses for Month

    End of Month Membership Total

    Demits, NPD'S, Deaths, Withdrawl, Suspended or Expelled

    Name:

    ID No.:

    Category

    Date

     


     

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    ID No.:

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    ID No.:

    Category

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    If you have comments or questions about completing this form please call us or email Erin Roland at the Grand Lodge Office