Hours and Milage

USE THIS FORM TO LOG YOUR HOURS AND MILAGE FOR LODGE-RELATED ACTIVITIES

Name

First Name

Last Name

Enter from date and to date

Program Categories 1204 - 1501

Enter data for categories 1204, 1301, 1401, 1406, or 1501

Program Name

Enter the event, i.e. BoD meeting, General Meeting, etc.

Program Categories 1601 -9999

Enter data for categories 1601, 1701, 1801. and 9999

Program Name

Headcount

List the number of Elks

Hours

List the total number of hours for Elks

Milage

Enter the total miles traveled for Elks

Donations

Enter the donations for Non Cash and Cash

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