Invoice IMS

Your Purchase Order number*

Your Full Name:*

Your Address:*

Street Address Address Line 2 City ZIP / Postal Code

Your Email:*

For Distributing:*

What leaflets or magazines did you deliver?

Location Distribution took place:*

Area that distribution work took place in?

Date Distribution started:*

Date Distribution finished:*

Quantity delivered:*

Amount of money claimed:*

This is the total amount stated on the purchase order we gave you when we delivered your leaflets/magazines. You should enter it without the £ sign like this (for example): 42.30

Tracker No:

If you were given a tracker, this can be found on the side of your tracker or the serial number on the reverse

Declaration*

I certify that I have delivered the above leaflets and/or magazines to the best of my ability. If I was supplied a Tracker, I have used it. I am happy for IMS Ltd to conduct back-checks in the area I delivered to before paying me to confirm that deliveries were made. I understand that if I make a false claim, my payment may be withheld or withdrawn and that I may not be offered future work with IMS Group. I confirm that I am not VAT registered (if you have a VAT number and are VAT registered do not sign this form and contact us immediately) and that it is my responsibility to declare any income I have earned to the relevant tax or benefits authorities.

I Agree

Your Signature:*

Please type your name here.

Name

This field is for validation purposes and should be left unchanged.

Clients

Marketing & Creative

Printing

Media & Publishing

Leaflet Distribution