Please complete your report form below:
Date of this report - mm/dd/yy
Auxiliary Number District Number
Enter Name of person completing report online:
Enter the Auxiliary Chairman's name
street address
city state and zip
Phone 999-999-9999
Email:
You must enter an email address where you can be reached. If the chairman doesn't have an email address, enter the email
of the person completing the report.
Please do not enter dollar signs or commas in numeric amounts.
Total Number of Poppies Distributed: Campaign total raised
Display entered in the District Competition? Number of poppies used in display How many volunteers? Number of Hours?
Number of Jr Unit Members involved in the Drive
Number of Youth Groups (Girl/Boy Scouts, Schools, Organizations) involved in Drive
Did your Jr. Unit enter a display in the District Competition? Number of Poppies in Jr. Unit Entry
Describe how Poppies were used in your local schools
Describe how poppies were used in other ways
# of Poppies used in other Special poppy projects
Describe the Special Buddy Poppy Projects
Any other information you want the Department Chairman to know: