FAGSA History Update Form
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Name of Assembly *
Assembly Number *
Example: 123 (Do not include the "#" symbol)
Loyal Lady Ruler Name *
Example: Jane Smith (First & Last Name)
Loyal Lady Associate Ruler Name *
Example: Jane Smith (First & Last Name)
Loyal Lady Secretary Name *
Example: Jane Smith (First & Last Name)
Loyal Lady Treasurer Name *
Example: Jane Smith (First & Last Name)
Name of Deceased Member(s) *
Example: Jane Smith (First & Last Name)
Name of New Member(s) *
Example: Jane Smith (First & Last Name)
Name of Re-instated Member(s) *
Example: Jane Smith (First & Last Name)
Total Number of Member(s) at the End of the Year *
Example: 35 (Whole Number Only)
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