MONTHLY REVENUE SHARING FORM (one ride only)

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 revenue to ANZ account: 010790-0158661-00

All figures are inclusive of GST.

Your Company Name

Your company address

Your email address

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 ($)

Amount banked to Amusement Rides (NZ)

Any comments