NON-FUND RAISING ACTIVITY REPORT
ALL TEMPLE UNITS ARE PART OF THE WORKING CORPS OF ANSAR TEMPLE; AS SUCH, THEY ARE UNDER THE DIRECT
CONTROL AND AUTHORITY OF THE POTENTATE AND MUST BE COMPOSED WHOLLY OF SHRINERS IN GOOD STANDING
OF ANSAR TEMPLE.  NO UNIT IS PERMITTED TO PARTICIPATE IN A PARADE, PUBLIC EXHIBITION, OR ACTIVITY, NOR IS
ANY CLUB PERMITTED TO PARTICIPATE IN ANY ACTIVITY WITHOUT THE EXPRESS PRIOR APPROVAL OF THE
POTENTATE OF ANSAR TEMPLE.  THE POTENTATE MUST APPROVE SAMPLES OF ANY POSTER,. TICKET, OR PUBLIC
RELATIONS ANNOUNCEMENT BEFORE USED.
THE REQUESTOR
NOTE - First select from the "drop down" list directly below by clicking on the arrow button located at the right
end of the box then highlighting your Unit or Club by clicking on it.  Then click on the small box to the right of the
Club/Unit box.  This is to lock-in your club or unit.  If you have a scrolling wheel on your mouse and do not lock
your club/unit selection, the Internet Browser thinks you are still selecting and will continue scrolling the
drop-down list.
To Begin - Select Club or
Unit Then Press [TAB] Key
Club or Unit:
(If Not In List, Enter Here)
Submitted By:
Submitter's Phone #:
THE ACTIVITY
Sponsored By:
(Enter Here If Other Than Above)
Activity Location:
Date:
Time:
Activity Type:
(Parade, Off-Premise Clinic, Special Event, etc.)
Contact Person:
Contact Phone #:
THE APPROVAL
An Approval Will Be Sent To You.  How Would You Like It Delivered?
SHRINE CENTER INTERNAL MAIL
<<< Click Here To have The Approval Will Be
Placed In Your Mail Box At The Shrine Center
To Begin - Select Club or
Unit Then Press [TAB] Key
FAX
<<< Click Here then
Enter Fax Number
EMAIL
<<< Click Here then
Enter Email Address
USPS MAIL
<<< Click Here then
Enter USPS Address
Check (Click On) This Box If You Want To Use The "SUBMITTED BY" Name
From Above, Leave "Mail To Name" Field Below Blank and Proceed To The
Address Fields

-OR-   Do Not Check The Box and Enter A Different "Mail To Name" Below
Mail To Name:
Mail To Address Lines:
NOTE: IMPERIAL LAW PROHIBITS CLUBS/UNITS OR MEMBERS ACCEPTING REWARDS
OR MONETARY COMPENSATION FOR PARTICIPATING IN PARADES OR EXHIBITIONS.