DEMIT REPORT
Please fill out the following information and press the SUBMIT button.
PLEASE REPORT YOUR GROTTO'S DEMITS ON A MONTHLY BASIS.
Grotto
Supreme Council #
Date of Demit
Last Name
First Name
Middle Name
Address
City
State & Zip
Phone with area code
Name of Prophet who contacted this Prophet regarding his Demit
Title of the Prophet making the contact
Phone number of Prophet making the contact with area code
Dual Member
Yes
No
Reason why this Prophet took a Demit