NOMINATION FORM For Outings, Training, Socials & Other Events V1 Feb 05

Please Forward This Form,

Along With The Money, To

The Treasurer A.S.A.P.

Brisbane Catholic Bushwalking Club inc

Nomination Form

EVENT:

DATE:                       /            /

LEADER:

TIME:

Meeting Place:

TYPE:

D/W

O/N

B/C

T/W

TRN

SOC

Other

Emergency Officer

COSTS:

Normal

Driver – Bus

Driver – Car

Private

Deposit

N^O

Nominee’s Name

Phone Numbers

Dep

Paid

Y/N

Total

Paid

(Incl

Deposit)

Drove

Complete For Drivers Only

Home

Work

Or

Mobile

Engine

Capacity

In Litres

Total

Distance

Kms

Treasurer Use

Only

Reim

Rate

c/km

Reimb

To

Driver

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Page     1       of     _______

Total Received This Page                         $

Total Reimbursement This Page            $

Page 1, Front Click on the Form. Then Go Into “Print Preferences” and alter Paper Format To “LANDSCAPE” When Printing This Form.

Print the forms Back To Back manually by Printing One Page at a Time - by taking the first printed side & re-inserting it back in the printer to do the other side.

NOTE: All Visitors MUST Sign A "Liability" Form. Click on the Link. Parent/Guardian Must Sign For Children.

N^o	Nominee’s name	Phone Numbers		Dep Paid	Total Paid (Incl Dep)	Drove	Complete For Drivers Only
		Phone Numbers					Engine Capacity In Litres	Total Distance Kms	Treasurer Only
		Home	Work or Mobile				Engine Capacity In Litres	Total Distance Kms	Reim Rate	Reimb To Driver
11.
12.
12.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
Page of		Total Received This Page $				Total Reimbursed This Page $

Page 1, Back. Insert Another Page As Another Double Side Is To Be Printed.

Leader’s Calculations
Receipts	Amount	Payments	Amount
Receipts from Nominations Page 1	$	For	$
Receipts From Nominations Page 2	$	For	$
Receipts From Nominations Pages 3	$	For	$
Total Receipts	$	For	$
Less Payments	$	Total Payments	$
Forwarded To Treasurer	$

Treasurer’s Calculations
Receipts	Amount	Payments	Amount
Receipts From Leader		Reimbursements To Drivers	$
Misc Recepts		For	$
Misc Receipts		For	$
Total Receipts		For	$
Less Payments		Total Payments	$
Total Profit/Loss

Page 2, Front

Driver & Vehicle Information
Emergency Officer’s Information						Treasurer’s Information
Driver’s Name	Rego No	Make	Model/Year	Body	Colour	Engine Size Litres	Reimb c/Km	Total Dist Km	Reimb To Driver
									$
									$
									$
									$
									$
									$
									$
									$
									$
Total Driver Reimbursement .									$

Page 2, Back To Go back To "Forms", Click on the Link.