Revenue Verification Form

Revenue Verification Form
Our client blanks* has applied to renew their membership in ENTREPRENEURS ORGANIZATION (EO). We have noted below the gross revenue, entity type and percentage ownership for the most recent financial year end.

This information is prepared for the use of ENTREPRENEURS ORGANIZATION to assess our client's eligibility to remain a member of the organisation.

This information was neither audited nor verified by me and I make no representation, nor do I provide any assurance regarding the accuracy of this information for EO's decision making process.

This information is not appropriate for any purpose other then for assessing the qualifications for membership. We, the undersigned, understand that the information provided below will be kept strictly confidential.
Gross Revenue AU$*
Fiscal Year End Date *
Entity Type*
Client Ownership %*
Accountant Name*
Accounting Firm Name*
Street Address
Email
example@example.com
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