Statement of Gross Revenues Statement of Gross Revenues Month Ending*Select MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberYear*Select Year201720182019202020212022Studio Number*Select Studio Number702703704707708718721727729736740744748750751752753756757769772774778783785788789793794796797798799802805812818819821825829831835836837841849853856858859863867870872874875876879880882884885886890892895896898900901902903904906907909910911913914916920924926928929930931932934936937940941942943944945946950954956957958960965966969972974975976977978979980981982983984985988989990991992994995996997998100410071008101010121014101810191021102310241026Studio Name*Select Studio NameALAMEDAANCHORAGEAURORABAKERSFIELDBEE CAVEBEIRUTBEVERLY HILLSBOULDERBREABRENTWOODBRIDGEWATERBURBANKBURR RIDGECALABASASCAMP HILLCAPE CODCARMELCARYCHINO HILLSCOLORADO SPRINGSCOSTA RICACOSTA RICA – PINARESCRESTVIEWCRYSTAL LAKECYPRESSDALY CITYDAVIEDELRAYDENVILLEDORALDRAPERDUBLINEAGANEDISONELK GROVEENCINOFAIRFAXFOLSOMFORT COLLINSFREEHOLDFRESNOFRISCOGENEVAGLENDALE, AZGLEN MILLSGLENVIEWHAMILTONHALLANDALEHANFORDHARRISBURGHAYWARDHENDERSONHERMOSILLOHIGHLAND VILLAGEHILLSBOROJACKSONVILLELAFAYETTELAS VEGASLITTLETONLONG BEACHMAPLE GROVEMENLO PARKMETRO POINTEMILLCREEKMISSION VIEJOMONTGOMERYVILLEMONTROSENAPERVILLENORFOLKNORMANNYACKOAK RIDGEOGDENORANGE VILLAGEOXFORD VALLEYOXNARDPANAMA CITYPARK CITYPASADENAPHOENIXPITTSBURGHPITTSFORDPLEASANTONPORTER RANCHPORTLANDPROVORANCHO BERNARDOREDLANDSRENORICHMONDRIDGEWOODRIVERSIDEROCHESTERROCKLINROCKVILLESALT LAKE CITYSAN JOSESANTA MONICASAUCON VALLEYSCHAUMBURGSILVER SPRINGSIOUX FALLSSNOQUALMIESOUTH BAYSOUTH HILLSSOUTH MIAMISTERLINGSTUDIO CITYSUMMITSUNNYVALETAMPATHOUSAND OAKSTOMS RIVERTORRANCETRIBECATUCSONTUCSON MALLTUSTINUPPER WEST SIDEVALENCIAVAUGHANVERNON HILLSVIRGINIA BEACHVOORHEESWALNUT CREEKWAYNEWEBSTERWESTCHESTERWESTMINSTERWHITTIERWICHITAName First Last Email* Total Department Sales*ExemptionsThe following categories are not subject to royalty and will be subtracted from the total department sales.DepositsGift Cards SoldShippingFood and BeverageNon RoyaltyServicesTotal Sales Applicable to Royalty*5% of Total Sales (.05 x Total Sales)Minus Duncan Royalty Credit (10%)Marketing Materials Development Fund Fee 1% Due (.01 x Total Sales)Minus Duncan Royalty Credit (10%)Information Services Fee*Technology Bundle*Technology Bundle*If you are a multiple studio owner, you may deduct $29 from your additional locations if you have all locations under a single Robly account. Enplug Quantity Price: $25.00 Quantity Total $0.00 CreditsDetails of credits must be provided. CreditsCredit Detail:* CreditsCredit Detail:* CreditsCredit Detail:* Would you like to claim this studio as exempt from the Marketing Materials Development Fund Fee? Yes No Studio owners with multiple studios only pay one MMDF fee. Fee should be paid on the first acquired location.Multiple Studio Marketing CreditTotal Amount Due and Payable to CMME* Upload Detailed Sales Report Here:*Accepted file types: jpg, gif, jpeg, png, pdf, xls, xlsx, doc, docx, csv, Max. file size: 128 MB.Instructions: https://goo.gl/FUvLp4Upload Tender Report Here:Accepted file types: jpg, gif, jpeg, png, pdf, xls, xlsx, doc, docx, csv, Max. file size: 128 MB.Tender Report is needed if the studio has accepted Groupon, Living Social, or other Tender Types.Directions for creating a file for each upload can be found here. Under penalty of perjury, I certify that the above amount constitutes a complete, true, and accurate total of all credit card, cash, and online transactions subject to royalty. SignatureBy signing your name, this constitutes as an official signature.