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Last Updated 08/19/02
We plan to make this page a place to share custom forms among us, as well as listing available TOPS (official) forms for your information. Please contact Carla or Paula if you
have a form to share. If you are submitting a computer file, please specify the format (ie. word processor used, orientation, etc.).
Custom Forms
Food Diary - Based on 1500 cal. exchange program. (Format: Adobe Acrobat Landscape 8.5x14) Submitted by
Carla.
Blank Food Diary - All blank. Space for daily goals/notes, exercise, etc. (Format Adobe Acrobat Landscape 8.5x14) Submitted by
Carla.
Adobe Acrobat is a cross-platform format. Free readers are available at www.adobe.com for pc, mac, etc.
Official TOPS Club, Inc. Forms
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Application Blank for Annual Membership
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L-3
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Chapter Transfer Form
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L-7
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Change of Name or Address Notice
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L-7A
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TOPS News Report Form
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L-11
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Leader’s Requisition Sheet
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L-12
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Official KOPS First Registration
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L-14
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Official KOPS Goal Change
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L-14A
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Official KOPS Reinstatement (Re-registration)
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L-14B
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Award Order Blank (pad) (for US & Overseas)
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L-15
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Canadian Award Order Blank (pad)
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L-15 Can.
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Success Story or Contest Entry Form
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L-16
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Order Blank: KOPS NUmeral Guards
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L-17
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Century club Award Validation
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L-18
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Contribution Remittance Sheet
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L-19
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Chapter Maintenance Remittance Form
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L-20
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KOPS Lost Status Card
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L-21
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Chante of Leader or Adult Advisor or Change of Meeting Place, Time, or Day
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L-23
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Official Weight Chart for TOPS
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L-27
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Official Weight Chart Transfer
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L-27A
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Notice of Ineligibility of Weight loss
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L-29
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Chapter Program Requisition (see list)
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L-33
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Welcome Brochure (for visitors)
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L-36
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New Member Guide (for joining member)
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L-37
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Parent’s or Guardian’s Medical Release
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L-38
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KOPS Weight Chart
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L-39
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GEM Validation Card
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L-41
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Open House Poster
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PI-31
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Open House Advertising Slick
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PI-54
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Contact your Area Coordinator to obtain these forms. If you are looking for a TOPS program, we have a list of most of the available ones on this site for your information. These also can be obtained from your Area Coordinator.
(Information above taken from Form L-12 Leader’s Requisition Sheet 11/98)
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