WSQG Income & Expense Report for Regional Event

Report Date *

Name of Event: *

Organizer's Name *

First

Last

Email *

Phone

Date of Event: *

Payee (if different from organizer)

First

Last

Payee's Address: *

Address Line 1

Address Line 2

City

State

Zip Code

Please provide a brief description of the retreat, include successes and problems (if any). Include any comments you wish to provide.: *

WSQG Funds Approved on Original Request: *

Amount Requested: *

Please provide a summary of receipts. Please Note: Funds can be used for teacher fees, facility costs, advertising, postage and supplies. Funds CANNOT be used for door prizes, food, gifts or other supplies such as sewing notions (Example, scissors, irons, etc.). WSQG funds CANNOT be used to sponsor For-Profit events.

How Many Participants: *

TOTAL INCOME: Registration Fee Charged Each Attendee (if any): *

Donations Amount and Source (if any) *

Non WSQG Funding Amount and Source (if any): *

Other Income Amount and Source (if any): *

TOTAL INCOME:

EXPENSES: Total Paid Instructor (if any):

Were Teacher Fees Prepaid by the WSQG Treasurer? (copy) *

Total Facility Charges Paid (if any):

Were Facility Charges Prepaid by the WSQG Treasurer? *

Total Other Expenses Amount and Description:

TOTAL EXPENSES:

I certify that this Income and Expense Report is a true and complete accounting of the above-referenced Regional Event.

Wyoming State Quilt Guild

The purpose of the Wyoming State Quilt Guild is to unite those who love the quilter's art, to preserve the heritage of quilting, and to be a source of education.

WSQG Income & Expense Report for Regional Event