Please Complete Form Per Route Distributed
First Name:
Last Name:
Email Address (this will automatically email a copy of your submission to you as well):
Month:
—Please choose an option—JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember
Route Details
Route:
Date Completed Your Route
Any left overs? Please tell us exactly how many magazines and leaflets you had left over. We will then contact you if needed.
Going on Holiday or Can't do a Month's Distribution? Let us know which months you can't do and why. Please give AS MUCH notice as possible to cover your route
Attach Strava Screenshot(s) - (if applicable):
-- If you do not need to submit an invoice, please scroll down to the send button --
Submit your Invoice here - (if applicable):
Basic Rate £s
Name Of Leaflet (this is a required field)
Number of Leaflets
Amount Claiming Per Leaflet (1p, 2p, etc)
Pay £s
Sub Total (£s)
Basic Rate (£s)
TOTAL (£s)
Any Additional £s to claim?
Reason for this
Grand Total (£s)
Please leave this field empty.