CURRENT DATE

Dad Al Cass
Address
City, State Zip

Dear Dad Cass:

I have completed my term as Master Councilor of _______ 
Chapter.  At least six new DeMolays were initiated during my
term of office.  Listed below are the dates and activities 
_______ Chapter held to comply with the MSA requirements.

(be very specific as to what happened, approximately how 
many DeMolays attended, how many Advisors, how many others,
the times of the activity, the success of the activity in 
your opinion)


Sincerely and fraternally,
               your signature here

type your name here
type your address here
type your AC and phone number here

I certify on my honor as Chapter Dad or Chairman the 
accuracy if the events described.
               signature of Chapter Dad or Chairman