New Zealand Darts Council Inc

 

 

Top portion only to be completed byAssociation Secretaries

 

…………………………….. (Secretary'sname)             Date ……………

…………………………….. (Association)

…………………………….. (Address)

……………………………..

…………………………….. (Phone No)

 

To:          The Chief Executive

                New Zealand Darts Council

                P O Box 907

                PALMERSTON NORTH

 

Attached please find:

                Capitation Fees.................... Senior Members   @          $16. 00.  each.      $...............................

 

                         "            "  .................. Junior Members    @           $  5. 00.  each       $...............................

 

                Association Affiliation Fee                ………....      @     $50. 00.                 $...............................

 

                Annual General Meeting Non Attendance/Proxy Vote fee                          $...............................

 

                Championship Entry Fees:

 

                ..........................Entries   @   $10. 00. per person per event                          $...............................

 

                Other _____ X__________________@ $________-                                               $...............................

               

TOTAL ENCLOSED          $_______________

                                                                                                                                                    G S T Inclusive.

 

NB :        THIS FORM MUST ACCOMPANY THE APPROPRIATE REGISTRATION FORMS.

                White copy for CAPITATION FEES,               Blue copy for CHAMPIONSHIP entry fees.

                THIS FORM MUST BE USED EVERYTIME FEES ARE FORWARDED.

========================================================================

                                                                  FOR OFFICE USE ONLY                                                  

 

Official Receipt                          TAX INVOICE                                          N Z D C

G S T  No  11 - 295 - 002                  P O BOX 907

Date..........................................                                                                               PALMERSTON NORTH

                                                                                                                                  

 

Received from......................................................................................................................(Assn)

 

Capitation Fees    Senior    ……….       @            $16. 00.                 $___________

Junior    ……….           @            $  5. 00.                  $___________

Affiliation Fee                      ……….           @            $50. 00.                 $___________

Annual General Meeting Non Attendance/Proxy Vote fee                          $___________

Championship Entries        ……….           @            $10. 00.                 $___________

Other _____ X__________________@ $________-                                               $___________

TOTAL $___________

         G S T (inclusive)

..........................................

Chief Executive.