2005 FRATERNAL SURVEY

Dear Brothers,

Please fill out the attached 2005 Fraternal Survey and bring it along to our next General Meeting on Monday, January 16,2006. Alternatively, you may send your input via email to valdez3125@yahoo.com by Friday, January 27th.

2005 FRATERNAL SURVEY

1. Number of visits to the Sick =

2. Number of visits to Bereaved =

3. Number of blood donations =

4. Estimated hours of volunteer service to

· Church =

· Community =

· Youth =

· Miscellaneous =

5. Estimated hours of fraternal service to sick/disabled members and their families =

Fraternally,

Bro. Valens Almeida

DGK & Program Director