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Program Report Form
Auxiliary Member Name
*
Auxiliary Member Title
*
Email Address (For Confirmation )
Auxiliary Name
*
Auxiliary Number
*
District
Division
Reporting Period From
*
Reporting Period To
*
Program Being Reported
American Flags Handed Out
POW/MIA Flags Handed Out
Certificates Handed Out
Buddy Poppies Used for Project
Members Participating
Youth/Groups Participating
Total Hours Worked
Total Miles
Total Dollar Value ($)
Description of Project(s)
*
Submit
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