SEMI-ANNUAL REPORT Chapter No ______R.A.M. OF ALABAMA

1. DEGREES CONFERRED SINCE LAST REPORT MADE Date _______
Names in Full (type or print clearly)Date of BirthWhere BornM.M.P.M.M.E.MR.A.M.
       
       
       
       
       
       
       
       
       
       
       
       

2. AFFILIATED BY DEMIT OR TRANSFER SINCE LAST REPORT
Names in Full (type or print clearly)Date of BirthWhere BornElectedNo.Dimitted/Chapter
      
      
      
      
      
      

3. REINSTATED SINCE LAST REPORT
Names in Full (type or print clearly)Date of BirthWhere BornDates:Suspended:Reinstated
     
     
     
     
     
     
     
     
     
     
     

4. SUSPENDED NON PAYMENT OF DUES (NPD)
Names in Full (type or print clearly)DATENames in Full (type or print clearly)DATE
    
    
    
    
    
    
    
    
    
    

5. DEMITTED OR TRANSFERRED
Names in Full (type or print clearly)DATENames in Full (type or print clearly)DATE
    
    
    
    
    
    

6. DEATHS
Names in Full (type or print clearly)AgeDateNames in Full (type or print clearly)AgeDate
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      

MEMBERS AS SHOWN By LAST REPORTXXXXX            
1. EXALTED SINCE         XXXXX
2. AFFILIATED SINCE            XXXXX
3. REINSTATED SINCE            XXXXX
             TOTAL                        
4. SUSPENDED SINCE            XXXXX
5. DIMITTED SINCE            XXXXX
6. DEATHS SINCE            XXXXX
            DEDUCT TOTAL                        
             TOTALXXXXX         

PRESENT MEMBERSHIP [_______]
EXALTATIONS[_______]
EXALTATION FEE ($5.00 each)[_______]
GRAND CHAPTER DUES ($6.00 each)[_______]
PREVIOUS UNPAID[_______]
TOTAL DUES[_______]
TOTAL REMITTANCE[_______]