Event Reconciliation Form Click Here to download Event Reconciliation Form (.pdf) Entrant DetailsVariety Event* SA Variety Bash Variety SA 4WD Adventure Variety Moto Run Variety Aussie Muscle Car Run Other Please select which event you are fundraising forEntrant Name / Number* Full Name* Event / Fundraiser Coordinator* i.e. Car Caption / Team captain etc.Type of Event* Date of Event* Location* Venue* Email Address* Income*(proposed if prior to fundraising) - Please fill out all sections relevant to your event / fundraiser.Ticket Sales ($) Auction ($) Donations ($) Lucky Ticket Draw ($) Raffle ($) Other ($)If other, please describe the method used to generate income + the amount raised. (i.e. Bake Sale - $150)Total Income ($)* ExpensesPlease attach receipts below and fill out all sections relevant to your event / fundraiser.Please upload receipts / invoices Drop files here or Select files Accepted file types: jpg, gif, png, pdf, Max. file size: 512 MB. Venue ($) Food & Beverage ($) Auction Items ($) Printing ($) Entertainment / MC ($) Misc Expenses Under $100 ($) Credit Card Facilities ($) Other ($)If other, please describe the method used to generate income + the amount raised. (i.e. Bake Sale - $150)Total Expenses ($)* Total Profit ($)* Please include any relevent points of informationPayment Method to VarietyHow will the funds be sent to Variety* Cash or Cheque EFT - Online Bank Transfer Pay with Credit Card now Total amount you would like to pay now* Total $ 0.00 Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Expiration Date Security Code Cardholder Name EFT Transfer DetailsFor electronic transfers: Account Name: Variety - the Children's Charity Tent 75 SA Inc Account Number: 175 100 858 BSB: 633 000CAPTCHA Δ
