19C Member Information and Feedback Sheets_

Melbourne Lodge No. 143, F. & A. M.

Member Information and Feedback Sheets

(Version 1.03 January 27, 2011)


Purpose: Complete this form and return to Brother ___________l, Chairman of the Phone Calling Committee.


The information on this form provides sufficient detail about the member you will call. If there is no phone number, please look it up on the internet or any other source and add it to the form. The script for the call could be something along the lines of the following:

Member information:


Name: «FIRST_NAME» «LAST_NAME» Phone #: «PHONE»

Address: «STREET» , «CITY» , «ST» «ZIP»-«Zip4»

Date of birth: «BORN»

Date Raised to the Sublime Degree of Master Mason: «MM_Degree» Member Type: «Member_Type» PM: «PM»


Hello, my name is _____________________________________ and I’m calling from Melbourne Lodge No. 143.

How are you this evening?

We are calling each of our members to touch base and get your ideas about how your Lodge can better serve you and all our members. I am relatively new to the Lodge and don’t recall meeting you.

Have you been in Lodge lately? YES NO (circle one) If not, is there a specific reason for which I can provide assistance?

WRITE-IN COMMENTS:





The Stated Communications are for business, but are kept to a minimum by paraphrasing or summarizing minutes and correspondences. Prior to the meeting the Junior Warden and Stewards prepare top quality meals for your enjoyment. You are welcome to bring your wife, family, and friends to these pre-meeting dinners. The Worshipful Master’s goal is to keep the meeting short so that the Brothers can enjoy dessert and fellowship.


The Called Communications are for Degrees and Catechism Proficiency.


When a Stated Communication is canceled, it is replaced with a Social Meeting. The evening is dedicated to a dinner and when finished, all will retire to the Lodge Room, where there will be a speaker or some other agenda that will also be interesting to your family and friends, such as Bible and Apron presentations to new Master Masons. Does this sound like something you would be interested in attending? YES NO (circle one)


The officers of the Lodge are bringing FUN back into Masonry and are working hard to COMMUNICATE with our members.

To be successful, we need your input.


Do you have any suggestions related to the content and layout of the monthly Trestleboard? YES NO (circle one)

WRITE-IN COMMENTS:




Would you like the Phone Calling Committee to call you for any of the following?

Notice of special events YES NO (circle one) (Degrees, Fundraisers, Social Events, other)

Funeral Service notices YES NO (circle one)

Are you on the internet? YES NO (circle one) If yes, what is E-mail Address: ____________________________

If so, would you like to receive any of the following by E-mail?

Notice of special events YES NO (circle one)

The Trestleboard online and not via the U.S. Mail YES NO (circle one)

Funeral Service notices YES NO (circle one)

Do you have any suggestions or ideas for Lodge meetings? YES NO (circle one)

Would you like to serve on any Lodge Committee? YES NO (circle one) Which Committee: ______________________

Would you like to participate in any Degrees? YES NO (circle one) Which Degree: ______________________________

WRITE-IN COMMENTS:




If you no longer drive at night, would you like a ride to Lodge? YES NO (circle one)

If you are not able to attend Lodge, would you like to have a visit from a member of the Lodge? YES NO (circle one)

In the future if you have any suggestions, comments, sickness or distress, or the Lodge can assist you, please call the Worshipful Master or Secretary, listed in the Trestleboard, and you will be contacted.


Any questions or comments? I enjoyed chatting with you this evening. Have a nice evening. Bye for now. (If the member is able to attend meetings, say, “we look forward to seeing you in Lodge”).


C:\Secretarys How to Guide\Phone Committee Templates & Guidelines\19C Member Information and Feedback Sheets.doc