The Task Force for Registration, Education & Reporting has created a single, easy to use Reconciliation Form Template for calculating and reporting both active membership and accurate dues payment amounts for State Societies. This standardized Reconciliation Form is intended to speed up the data gathering and reconciliation process and, at the same time, reduce the man hours currently required in reconciling the membership of the National Society by the National Office. It will also expedite each state society’s payment of dues to the National Office.

(Form 0921, last revised Nov 2011) State Secretaries and others use this form to accompany materials dealing with member status. This file has fully active form fields. You will need Adobe Acrobat 4.0 or higher. The application fee will remain $60.00 until Jan 1, 2010. please make note. Note: Once filled in please print this form on canary yellow paper so it won't get lost in the documentation that it accompanies.