Minnesota-Dakotas District of Circle K International
Club Monthly Report for the month of:
January
February
March
April
May
June
July
August
September
October
November
December
Circle K Club:
Division:
Sponsoring Kiwanis Club:
Club Meeting Place/Day/Time:
Number of Paid Members:
Are International & District Dues paid?
Yes
No
Minn-Dak Milky Way Points
Date
ID Number
Point Value
Service Hours
# of Attendees
Description
Date
ID Number
Point Value
Service Hours
# of Attendees
Description
Date
ID Number
Point Value
Service Hours
# of Attendees
Description
Total Points:
Total Hours:
Has contact with your Lieutenant Governor been adequate?
Yes
No
Has contact with other district officers been adequate?
Yes
No
Please list any upcoming events and include date, time and location.
Signed:
Form Processed By
Form-Mail