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Chronicler





Chronicler's Quarterly Report
Reporting for the Office of:  
 For the Territory of:
Reporting Period:
Year:
Please enter any other email address(es) you wish to send a copy of this report (please separate all address by a ";"): 
Modern Name:
SCA Name:
Email:
 
Street Address:
 		 Primary Phone #:
 		  
City:
State:
Zip:
 
Membership #:
 Membership Expiration Date:

Warrant Expiration Date:

  
Status of Office:  
What is the status of your office:
   
Are there any issue that occurred in this reporting period. Please be as explicit as possible and give as much details as needed:
Where any outstanding issues resolved during this reporting period. Please be as explicit as possible and give as much details as needed:
List any projects. Please be as explicit as possible and give as much details as needed:
What is the name of your publication:
 What methode are you delivering:
 If Electronic, Server name:
 
If you are charging for you publication, How much:
 How many subscriptions do you have: 
  
Social Media    
Facebook URL:
Google+ URL:
Twitter Account:
Other URL used:
   
Recognition: 
Is there anyone you wish to recognize or praise?
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Form Update:RK 2/9/14

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