Lodge Revitalization Form

Lodge Name & No.

Checkbox

Revitalization

New Lodge Development

Name

First Name

Last Name

Contact Phone

Email

Has contact been made with the:

District Deputy

Provincial Membership Director

I agree to abide by the Constitution and By-Laws of the Elks of Canada with respect to Article 3 Lodge By-Laws, (section 4.1) page 36 dealing with membership.

Outline of Plan:

Travel (Costs of special guests or other individuals needed to facilitate a successful project)

Please explain in as much detail what the funding will be used for.

Accomodations

Please explain in as much detail what the funding will be used for.

Meals

Please explain in as much detail what the funding will be used for.

Publicity

Please explain in as much detail what the funding will be used for.

Miscellanous

Please explain in as much detail what the funding will be used for.

Printed Materials Required

Invitation to Join Brochures, New Member Kits, Elks & Royal Puruple Fund for Children Brochures, Making a Difference DVD's

Additional Information or Materials Needed

Please Note: A follow-up report (available from the National Office) will be required as soon after the project is over. Please send to the National office for distribution to the Member Services Committee.