Payment Summary Sheet - Mountain Bike Australia · 2019. 6. 30. · Mountain Bike Australia Payment...
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Mountain Bike Australia Payment Fee Summary Sheet Effective as of 1 July 2019 Name of Club/Promoter: Date: *** PLEASE ENSURE CORRECT FUNDS ARE ENCLOSED TO AVOID PROCESSING DELAYS *** Race Membership Masters 7+ (60 years & over) – 12 months $102.00 $ Masters 7+ (60 years & over) – 3 months $43.00 $ Adult (19 – 59 years) – 12 months $140.00 $ Adult (19 – 59 years) – 3 months $63.00 $ Adult Value Add – CA/BMXA/ADCC – 12 months $102.00 $ Junior (13 – 18 years) – 12 months $102.00 $ Junior (13 – 18 years) – 3 months $43.00 $ Junior Value Add – CA/BMXA/ADFC – 12 months $80.00 $ Dirtmaster (7 – 12 years) – 12 months $49.00 $ Dirt Cub (2 – 6 years) – 12 months $25.00 $ Recreation Membership (with Club) Masters 7+ (60 years & over) – 12 months $49.00 $ Masters 7+ (60 years & over) – 3 months $25.00 $ Adult (19 years & over) – 12 months $69.00 $ Adult (19 years & over) – 3 months $36.00 $ Junior (13 – 18 years) – 12 months $49.00 $ Junior (13 – 18 years) – 3 months $25.00 $ Non-Rider Membership Non-rider member – 12 months $52.00 $ Non-rider member – 3 months $25.00 $ Public Liability Membership Public Liability member – 12 months (with Club) $35.00 $ Public Liability member – 12 months (no Club) $56.00 $ Race Event Licence & Recreation Permits Race Event Licence Race Event Licence Adult (19 years & over) – Recreation permit $10.00 $ Junior (3 – 18 years) – Recreation permit $7.00 $ Mass Participation Event Licence 200+ riders Valid for pre-approved events ONLY $7.00 $ Affiliation Club annual affiliation fee $185.00 $ School annual affiliation fee $185.00 $ Other $ $ Total Payable $ MTBAMembershipType Fee No.of Forms Total Fee 1-100 sold (per event) Total Monies received Amt to remit to MTBA = TOTAL less 25% Club share 101-500 sold (per event) Total Monies received Adult: Qty sold at $36 Junior: Qty sold at $22 Rec upgrade: Qty sold at $15 Electronic Funds Transfer Details Bank: Commonwealth Bank of Australia Account name: Mountain Bike Australia Ltd BSB: 064475 Account no: 10375364 EFT Remittance details Date Paid: _________________ Amount Paid: ______________ Reference: ________________ Adult: Qty sold at $36 Junior: Qty sold at $22 Rec upgrade: Qty sold at $15 Payment options Cheque Details Make cheques payable to Mountain Bike Australia Full amount of permits to be remitted to MTBA Amt to remit to MTBA = TOTAL less 40% Club share
Transcript of Payment Summary Sheet - Mountain Bike Australia · 2019. 6. 30. · Mountain Bike Australia Payment...
Mountain Bike Australia Payment Fee Summary Sheet Effective as of 1 July 2019
Name of Club/Promoter: Date: *** PLEASE ENSURE CORRECT FUNDS ARE ENCLOSED TO AVOID PROCESSING DELAYS ***
Race Membership
Masters 7+ (60 years & over) – 12 months $102.00 $
Masters 7+ (60 years & over) – 3 months $43.00 $
Adult (19 – 59 years) – 12 months $140.00 $
Adult (19 – 59 years) – 3 months $63.00 $
Adult Value Add – CA/BMXA/ADCC – 12 months $102.00 $
Junior (13 – 18 years) – 12 months $102.00 $ Junior (13 – 18 years) – 3 months $43.00 $
Junior Value Add – CA/BMXA/ADFC – 12 months $80.00 $
Dirtmaster (7 – 12 years) – 12 months $49.00 $ Dirt Cub (2 – 6 years) – 12 months $25.00 $
Recreation Membership (with Club) Masters 7+ (60 years & over) – 12 months $49.00 $ Masters 7+ (60 years & over) – 3 months $25.00 $ Adult (19 years & over) – 12 months $69.00 $ Adult (19 years & over) – 3 months $36.00 $
Junior (13 – 18 years) – 12 months $49.00 $ Junior (13 – 18 years) – 3 months $25.00 $
Non-Rider Membership Non-rider member – 12 months $52.00 $ Non-rider member – 3 months $25.00 $ Public Liability Membership Public Liability member – 12 months (with Club) $35.00 $
Public Liability member – 12 months (no Club) $56.00 $ Race Event Licence & Recreation Permits
Race Event Licence
Race Event Licence
Adult (19 years & over) – Recreation permit $10.00 $ Junior (3 – 18 years) – Recreation permit $7.00 $
Mass Participation Event Licence 200+ riders Valid for pre-approved events ONLY
$7.00 $
Affiliation Club annual affiliation fee $185.00 $
School annual affiliation fee $185.00 $
Other $ $ Total Payable $
MTBAMembershipType Fee No.ofForms TotalFee
1-100sold(perevent)
TotalMoniesreceived
AmttoremittoMTBA=TOTALless25%Clubshare
101-500sold(perevent)
TotalMoniesreceived
Adult:Qtysoldat$36
Junior:Qtysoldat$22
Recupgrade:Qtysoldat$15
ElectronicFundsTransferDetails
Bank:CommonwealthBankofAustraliaAccountname:MountainBikeAustraliaLtdBSB:064475Accountno:10375364
EFTRemittancedetails
DatePaid:_________________AmountPaid:______________Reference:________________
Adult:Qtysoldat$36
Junior:Qtysoldat$22
Recupgrade:Qtysoldat$15
Paymentoptions
ChequeDetails
MakechequespayabletoMountainBikeAustralia
FullamountofpermitstoberemittedtoMTBA
AmttoremittoMTBA=TOTALless40%Clubshare
