MONTHLY REVENUE SHARING FORM (multiple rides)

To confirm your monthly revenue sharing and obtain a GST invoice simply complete the form below 
and print off the TAX INVOICE confirmation page for your records.

Please bank Amusement Rides NZ's share of total revenue to ANZ account: 010790-0158661-00

All figures are inclusive of GST.

Your Company Name

Your company address

Your email address

RIDE #1

Type of ride (e.g. police van, or nessie, etc)

Rides current meter reading (must be 6 digits)

Number of $1 coins

Number of $2 coins

RIDE #2

Type of ride (e.g. police van, or nessie, etc)

Rides current meter reading (must be 6 digits

Number of $1 coins

Number of $2 coins

RIDE #3

Type of ride (e.g. police van, or nessie, etc)

Rides current meter reading (must be 6 digits

Number of $1 coins

Number of $2 coins

RIDE #4

Type of ride (e.g. police van, or nessie, etc)

Rides current meter reading (must be 6 digits

Number of $1 coins

Number of $2 coins

RIDE #5

Type of ride (e.g. police van, or nessie, etc)

Rides current meter reading (must be 6 digits

Number of $1 coins

Number of $2 coins

TOTAL CASH FOR ALL RIDES

AMOUNT BANKED TO Amusement Rides (NZ)

Any Comments