Round Rock Lodge Texas 227

This form is for members to report their charitable hours.

    Your Name *

    Membership ID *

    Date Work Performed *

    Enter the date on which the work was performed

    Hours *

    Enter the number of hours worked

    Type of Work Performed *

    Description of Work Performed

    Please give a brief description of the work performed. Please include mileage and expenses.

    Name of the Charity

    Please type the name of the charity if applicable