Name:	Division:	Month:
	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15	January February March April May June July August September October November December

Have you...	Mailed:	E-Mailed:		...your newsletter?
	---- Yes No	---- Yes No

Visited Clubs...	Club Name:	Reason:	Date:

I have called:	Governor:	Coach Westmoreland:	Zone Chair:	Club Presidents:	Committee Chairs:	Faculty Advisors:
	---- Yes No	---- Yes No	---- Yes No	---- Yes Some No	---- Yes No	---- Yes Some No

Miscellaneous: