Notification of Payment

Use this form to notify the treasurer and Registrar of walk paymen

Submitters Name * First Last
Submitters Email *
Multiple Choice * Flight Deposit for Butterfly Flight Fees for Butterfly Flight Fees Installament Team Member Payment
Payment for Name *
Payment Amount * $ . Dollars Cents
Receipt Number
Payment Details

Payment can me made via Internet banking Bank Deatils BSB: 082 286 Acct No: 83670 3689 Acct Name: Sydney Regional Chrysalis Please include in the description Fees Flight No and First Initial and Surname eg. Fees 79 J Smith This enables reconciliation by the Treasurer