Please report your National Home program here:
Date of this report - mm/dd/yy
Auxiliary Number District Number
Enter Name of person completing online report
Enter Auxiliarychairman'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.
Amount of Health and Happiness Donation Enter Date of Health and Happiness Donation -- mm/dd/yy
Amount of General Fund donation Enter the date of General Fund Donation: -- mm/dd/yy
Amount of Children's Activity Donation Enter the date of Activity Fund Donation -- mm/dd/yy
Amount of Illinois Cottage Fund Donation Enter the date of llinois Cottage Donation -- mm/dd/yy
Amount of Miscellaneous Fund Donation Enter the date of Misc. Fund donation -- mm/dd/yy
Amount of Endowment Fund Donation Enter the date of Endowment Fund Donation -- mm/dd/yy
Amount of UPC's Enter the date of UPC's Donation -- mm/dd/yy
Amount of Memorials in lieu of flowers Enter the Date of the Memorial -- mm/dd/yy
Other Donations Made to home Such as groceries, library, clothing, etc Date of Donation
Birthday and Holiday Cards to the home
New Life Members (to the home) Name Date
Name Date
Attended Illinois Day, October 7, 2006; how many from your Auxiliary? Explain your trip and any donations that you made: