Chapter and Club
Opportunity Drawing (Raffle) Report
Fresno State Alumni Association | www.fresnostatealumni.com | Phone: 559.278.ALUM | Fax: 559.278.6790
Chapter/Club Name: __________________________________________________________________
Instructions:
1. Please complete and submit this form no later than 10 days following the date of your event. Email to
Amanda Hall (ahall@mail.fresnostate.edu).
a. Original signatures are required (digital/electronic signatures are not allowed).
b. Please make sure to have one individual sign as a witness
to the information reported.
2. After completing, please save a copy for your records. We also recommend sharing with the rest of the
officers/leadership team.
3. Additional forms to complete (as relevant):
a. Deposit Form: If revenue was generated from your event, complete this form and deliver it with all
funds to the FSAA office so it may be deposited into your account in a timely fashion.
b. Payment/Reimbursement Form: If you incurred costs that are outstanding, complete this form and
submit it along with all original receipts (we are not able to accept copies).
c. Transfer of Funds Form: If you have revenue from the event you wish to have deposited into your
scholarship account, complete this form and submit.
EVENT DETAILS
Name of event: ________________________________________________________________________
Date of event: ________________________________________________________________________
Location of event: ________________________________________________________________________
FINANCIALS
1. Number of tickets sold: __________________
2. Number of tickets provided at no charge: __________________
3. Revenue collected from opportunity drawing: $ ________________
4. Opportunity drawing expenses: $ ________________
5. Net profit/loss: $ ________________
PREPARED BY
Your name: ____________________________________
Date: ________________________________
Signature: ______________________________________________________________________________
W
itnessed by: ____________________________________
Date: ________________________________
Signature: ______________________________________________________________________________
