Name of Event: ______________________________________    Date: ______________________

Chairperson(s):

   Name_________________________Phone _______________ Email________________________

   Name_________________________Phone _______________ Email________________________


Receipts:       

 ____ people @ $_____(ea)   =    $________
                                                                                     

Other receipts (Explain below)                                  Expenses:  (please itemize)
_________________________       ________           ______________________        _________
_________________________       ________           ______________________        _________
_________________________       ________           ______________________        _________
_________________________       ________           ______________________        _________
_________________________       ________           ______________________        _________
_________________________       ________           ______________________        _________
Total receipts                                  ________           Total expenses                          __________

                                                                                    Net profit (loss)                         _________

                                                                    
Give a brief description of the event and add anything which might be helpful in planning
an event like this again  in the future (such as contacts, phone #’s, planning procedure,
correspondence, brochures, etc.)
_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

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Use back side if additional space is necessary.  Submit this form to the Illinois Club President with any receipts
or other attachments.                                                                                                                                         REL: 01/2009