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<HTML>

<HEAD>


<META NAME="description" CONTENT="Official Site of the Lions Clubs of District 37N">
<META NAME="Keywords"    CONTENT="lions,md37,district37n,37n,37">


<!-- business -->


<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=UTF-8">
<META NAME="Generator" content="">
<!-- BOF: ./personal-templates/simple/themes.show -->

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<style>
<!--
.intro{
position:absolute;
left:0;
top:0;
layer-background-color:green;
background-color:green;
border:0.1px solid green
}
-->
</style>
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<!-- EOF: ./personal-templates/simple/themes.show -->


<!--<BASE HREF="http://lionsdistrict37n.org/form1.html">-->
<TITLE>Activity Report</TITLE></head>
<BODY  BGCOLOR="#D0DEED"
 TEXT="#333333"

LEFTMARGIN="0" TOPMARGIN="0" RIGHTMARGIN="0" BOTTOMMARGIN="0"

 onLoad=""
 
 LINK="#2E7096"
 VLINK="#000000"
 ALINK="#2E7096"
>

  
      <!-- BOF: ./personal-templates/simple/businessnew/layout/l49.layout --> 


<!-- html -->

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<!-- Begin Center -->
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       <TD WIDTH=746>
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              <TR>
<!-- Begin Buttons -->
                 <TD WIDTH=188 BACKGROUND="widgets/gen_2301.1.gif">
                    <TABLE WIDTH=188 HEIGHT="100%" BORDER="0" CELLPADDING="0" CELLSPACING="0" VALIGN="top" BGCOLOR="#D0DEED" BACKGROUND="widgets/gen_2301.1.gif">
                        <TR>
                           <TD HEIGHT=10 VALIGN="top">
                              <IMG SRC="widgets/spacer.gif" WIDTH=188 HEIGHT=10></TD>
                        </TR>
                        <TR>
                           <TD WIDTH="188" ALIGN="center" VALIGN="top">
               <a href="index.html" onMouseOver="document.images['img6'].src='widgets/gen_2305.1.gif'" onMouseOut="document.images['img6'].src='widgets/gen_2304.1.gif'"><img src="widgets/gen_2304.1.gif" alt="Welcome" name="img6" border="0"></a><br>
               <a href="about.html" onMouseOver="document.images['img12'].src='widgets/gen_2367.1.gif'" onMouseOut="document.images['img12'].src='widgets/gen_2366.1.gif'"><img src="widgets/gen_2366.1.gif" alt="DG 2008-2009" name="img12" border="0"></a><br>
               
               <a href="gpage.html" onMouseOver="document.images['img128'].src='widgets/gen_2311.1.gif'" onMouseOut="document.images['img128'].src='widgets/gen_2310.1.gif'"><img src="widgets/gen_2310.1.gif" alt="PDG's" name="img128" border="0"></a><br>
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               <a href="news.html" onMouseOver="document.images['img8'].src='widgets/gen_2317.1.gif'" onMouseOut="document.images['img8'].src='widgets/gen_2316.1.gif'"><img src="widgets/gen_2316.1.gif" alt="News/Convention" name="img8" border="0"></a><br>
               <a href="Download.html" onMouseOver="document.images['img42'].src='widgets/gen_2321.1.gif'" onMouseOut="document.images['img42'].src='widgets/gen_2320.1.gif'"><img src="widgets/gen_2320.1.gif" alt="Publications" name="img42" border="0"></a><br>
               <a href="Download1.html" onMouseOver="document.images['img13'].src='widgets/gen_2323.1.gif'" onMouseOut="document.images['img13'].src='widgets/gen_2322.1.gif'"><img src="widgets/gen_2322.1.gif" alt="Members Info" name="img13" border="0"></a><br>
               <a href="links.html" onMouseOver="document.images['img15'].src='widgets/gen_2327.1.gif'" onMouseOut="document.images['img15'].src='widgets/gen_2326.1.gif'"><img src="widgets/gen_2326.1.gif" alt="Internet Links" name="img15" border="0"></a><br>
               <a href="REPORTS.html" onMouseOver="document.images['img47'].src='widgets/gen_2329.1.gif'" onMouseOut="document.images['img47'].src='widgets/gen_2328.1.gif'"><img src="widgets/gen_2328.1.gif" alt="Reports" name="img47" border="0"></a><br>
               <a href="form1.html" onMouseOver="document.images['img83'].src='widgets/gen_2331.1.gif'" onMouseOut="document.images['img83'].src='widgets/gen_2330.1.gif'"><img src="widgets/gen_2330.1.gif" alt="Activity Report" name="img83" border="0"></a><br>
               <a href="contact.html" onMouseOver="document.images['img34'].src='widgets/gen_2333.1.gif'" onMouseOut="document.images['img34'].src='widgets/gen_2332.1.gif'"><img src="widgets/gen_2332.1.gif" alt="Contact Us" name="img34" border="0"></a><br>
               
               <a href="mailto:districtgovernor37-N@md37lions.org" onMouseOver="document.images['img_email'].src='widgets/gen_2335.1.gif'" onMouseOut="document.images['img_email'].src='widgets/gen_2334.1.gif'"><img src="widgets/gen_2334.1.gif" alt="e-mail me" name="img_email" border="0"></a><br></TD>
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              <TD WIDTH=100% HEIGHT="100%" VALIGN="top">
                 <TABLE WIDTH=100% HEIGHT="100%" BORDER="0" CELLPADDING="10" CELLSPACING="0" VALIGN="top">
                   <TR>
                      <TD WIDTH=100% VALIGN="top"><!-- BOF: ./personal-templates/simple/businessnew/form/style_l40.html -->


<TABLE  WIDTH=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">
                                                        <TR>
                                                                <TD WIDTH=400 HEIGHT=89><IMG SRC="widgets/gen_2359.1.gif" WIDTH=400 HEIGHT=89></TD>
                                                                
                                                           
                                                        </TR>        
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<TABLE WIDTH=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">
        <TR>
                <TD COLSPAN="2"></TD>
                                        
        </TR>
        <TR>
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<SCRIPT LANGUAGE="JavaScript">
function validate(){
        var valid;
        valid=true;
        var valueExists;


if (document.forms[0].field_91.value==""){ valid=false; };


if (document.forms[0].field_194.value==""){ valid=false; };


if (valid==false) { 
                alert('You did not fill all required fields!'); 
            }

return valid;
}
</SCRIPT>

<form name="questionary" action="http://supremecenter10.com:8080/servlet/psoft.customform.CustomForm" method="post">
<input type="hidden" name="form_id" value="83">
<input type="hidden" name="user_id" value="1812">
<input type="hidden" name="title" value="Activity Report">

<input type="hidden" name="name" value="email2.html">


<input type="hidden" name="order" value="91 194 87 88 89 90 ">
<input type="hidden" name="submit_url" value="http://lionsdistrict37n.org/onsubmit2.html">
<input type="hidden" name="error_url" value="http://lionsdistrict37n.org/onerror2.html">
                                <TD VALIGN="top">
                                        <TABLE VALIGN="top" border="0" cellpadding="5" cellspacing="5" width="95%">
                                                <TR>
                                                        <TD colspan=2>&nbsp;</td>
                                                </TR>


<input type="hidden" name="name_91" value="Club Name">
                                                <TR>    
                                                        <TD VALIGN="top">


<font face='Arial' size='2' color='#333333'>

Club Name

</font>


<font color="red" size="-1">*</font></td>
                                                        <TD>
                                                                
                                                                
                                                                <input type="text" name="field_91" size="35">
                                                                
                                                                
                                                         </TD>
                                                </TR> 

<input type="hidden" name="name_194" value="Your email address">
                                                <TR>    
                                                        <TD VALIGN="top">


<font face='Arial' size='2' color='#333333'>

Your email address

</font>


<font color="red" size="-1">*</font></td>
                                                        <TD>
                                                                
                                                                
                                                                <input type="text" name="field_194" size="35">
                                                                
                                                                
                                                         </TD>
                                                </TR> 

<input type="hidden" name="name_87" value="Club Visitations (date of visit, # of Lions, Club visited, miles to visit)">
                                                <TR>    
                                                        <TD VALIGN="top">


<font face='Arial' size='2' color='#333333'>

Club Visitations (date of visit, # of Lions, Club visited, miles to visit)

</font>


</td>
                                                        <TD>
                                                                
                                                                
                                                                <textarea name="field_87" rows="5" cols="30"></textarea>
                                                                
                                                                
                                                         </TD>
                                                </TR> 

<input type="hidden" name="name_88" value="Completed Service Activities( include date, # of Lions involved, hours on project, project Name)">
                                                <TR>    
                                                        <TD VALIGN="top">


<font face='Arial' size='2' color='#333333'>

Completed Service Activities( include date, # of Lions involved, hours on project, project Name)

</font>


</td>
                                                        <TD>
                                                                
                                                                
                                                                <textarea name="field_88" rows="5" cols="30"></textarea>
                                                                
                                                                
                                                         </TD>
                                                </TR> 

<input type="hidden" name="name_89" value="Fund Raising Activities ( include date, # of Lions Participating, hours involved, Name of Project)">
                                                <TR>    
                                                        <TD VALIGN="top">


<font face='Arial' size='2' color='#333333'>

Fund Raising Activities ( include date, # of Lions Participating, hours involved, Name of Project)

</font>


</td>
                                                        <TD>
                                                                
                                                                
                                                                <textarea name="field_89" rows="5" cols="30"></textarea>
                                                                
                                                                
                                                         </TD>
                                                </TR> 

<input type="hidden" name="name_90" value="Funds Allocated (Date, Amount, To Whom and for What)">
                                                <TR>    
                                                        <TD VALIGN="top">


<font face='Arial' size='2' color='#333333'>

Funds Allocated (Date, Amount, To Whom and for What)

</font>


</td>
                                                        <TD>
                                                                
                                                                
                                                                <textarea name="field_90" rows="5" cols="30"></textarea>
                                                                
                                                                
                                                         </TD>
                                                </TR> 

                                                <TR>
                                                        <TD COLSPAN="2">
                                                         
                                                                <input type="submit" onClick="return validate()"><input type="reset">
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                                                </TR>
                                        </TABLE>
                                </TD>
                        </TR>
</form> 
                </TABLE>
        </TD>
</TR>
</TABLE>


<!-- EOF: ./personal-templates/simple/businessnew/form/style_l40.html -->

                                                </TD>
                      <TD WIDTH=29 HEIGHT=100% BGCOLOR="#D0DEED" BACKGROUND="widgets/gen_2302.1.gif" ALIGN="right" ROWSPAN=2>
                           <IMG SRC="widgets/spacer.gif" WIDTH=1 HEIGHT=1></TD>
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                   <TR>
                      <TD VALIGN="bottom" WIDTH=100%>
<center><table border="0" cellpadding="0" cellspacing="3"><tr><td align="center">

<br><font face="helvetica,verdana, arial" size="1">&nbsp;</font>

</td></tr></table></center>
</TD>
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     <TD WIDTH=50% BACKGROUND="widgets/gen_2303.1.gif">
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     <TD VALIGN="bottom" HEIGHT=91 COLSPAN=3>
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            <TD BACKGROUND="widgets/gen_2291.1.gif" VALIGN="top">
               <IMG SRC="widgets/spacer.gif" WIDTH=1 HEIGHT=1><br>

<br>
<FONT FACE="verdana, arial, helvetica" SIZE="1">
<center>
<nobr>|<a href="index.html">Welcome</A>|</nobr>

<nobr>|<a href="about.html">DG 2008-2009</A>|</nobr>

<nobr>|<a href="gpage.html">PDG's</A>|</nobr>

<nobr>|<a href="gpage1.html">Recognition</A>|</nobr>

<nobr>|<a href="external2.html">Calendar</A>|</nobr>

<nobr>|<a href="news.html">News/Convention</A>|</nobr>

<nobr>|<a href="Download.html">Publications</A>|</nobr>

<nobr>|<a href="Download1.html">Members Info</A>|</nobr>

<nobr>|<a href="links.html">Internet Links</A>|</nobr>

<nobr>|<a href="REPORTS.html">Reports</A>|</nobr>

<nobr>|Activity Report|</nobr>

<nobr>|<a href="contact.html">Contact Us</A>|</nobr>
</center>
</font>

</TD>
            <TD WIDTH=16 HEIGHT=91 ALIGN="right" BACKGROUND="widgets/gen_2292.1.gif">
               <IMG SRC="widgets/spacer.gif" WIDTH=16 HEIGHT=91></TD>
          </TR>        
       </TABLE>
     </TD>
   </TR>
<!-- END Bottom -->
</TABLE> 
<!-- end html -->
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