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 Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 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
