Customer Information Form - ES General
Job Information
DateTime
Customer Name
*
Program Name
Job Name
*
Job Start Date
*
-
Month
-
Day
Year
Date
Job End Date
*
-
Month
-
Day
Year
Date
Billing Contact
*
Billing Contact E-mail
*
Billing Contact Phone
*
-
Area Code
Phone Number
Billing Contact Fax
Terms
*
Please Select
Due Upon Receipt
Net 30
Net 45
Net 60
Other
Billing Street
*
Billing City
*
Billing State
*
Billing Zip
*
Originating Office Location
*
Please Select
Jacksonville
Los Angeles
Miami
Atlanta
New York
San Francisco
Notes -FOR INFORMATIONAL PURPOSES ONLY
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Invoice Schedule
Invoice Item
*
Please Select
Pass Through
Event Marketing - One Time
Event Marketing - Program
Consulting
Branded Entertainment
Content Production
Social Media
Production
Talent Procurement
Amount1
*
Invoice on
*
-
Month
-
Day
Year
Date
Description
*
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Invoice Item
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Event Marketing - One Time
Event Marketing - Program
Consulting
Branded Entertainment
Content Production
Social Media
Production
Talent Procurement
Amount2
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-
Month
-
Day
Year
Date
Description
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Event Marketing - One Time
Event Marketing - Program
Consulting
Branded Entertainment
Content Production
Social Media
Production
Talent Procurement
Amount3
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-
Month
-
Day
Year
Date
Description
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Event Marketing - One Time
Event Marketing - Program
Consulting
Branded Entertainment
Content Production
Social Media
Production
Talent Procurement
Amount4
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-
Month
-
Day
Year
Date
Description
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Invoice Item
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Event Marketing - One Time
Event Marketing - Program
Consulting
Branded Entertainment
Content Production
Social Media
Production
Talent Procurement
Amount5
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-
Month
-
Day
Year
Date
Description
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Invoice Item
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Event Marketing - One Time
Event Marketing - Program
Consulting
Branded Entertainment
Content Production
Social Media
Production
Talent Procurement
Amount6
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-
Month
-
Day
Year
Date
Description
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Invoice Item
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Event Marketing - One Time
Event Marketing - Program
Consulting
Branded Entertainment
Content Production
Social Media
Production
Talent Procurement
Amount7
Invoice on
-
Month
-
Day
Year
Date
Description
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Invoice Item
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Event Marketing - One Time
Event Marketing - Program
Consulting
Branded Entertainment
Content Production
Social Media
Production
Talent Procurement
Amount8
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-
Month
-
Day
Year
Date
Description
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Event Marketing - One Time
Event Marketing - Program
Consulting
Branded Entertainment
Content Production
Social Media
Production
Talent Procurement
Amount9
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-
Month
-
Day
Year
Date
Description
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Event Marketing - One Time
Event Marketing - Program
Consulting
Branded Entertainment
Content Production
Social Media
Production
Talent Procurement
Amount10
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-
Month
-
Day
Year
Date
Description
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Event Marketing - One Time
Event Marketing - Program
Consulting
Branded Entertainment
Content Production
Social Media
Production
Talent Procurement
Amount11
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-
Month
-
Day
Year
Date
Description
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Event Marketing - One Time
Event Marketing - Program
Consulting
Branded Entertainment
Content Production
Social Media
Production
Talent Procurement
Amount12
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-
Month
-
Day
Year
Date
Description
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Event Marketing - One Time
Event Marketing - Program
Consulting
Branded Entertainment
Content Production
Social Media
Production
Talent Procurement
Amount13
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-
Month
-
Day
Year
Date
Description
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Event Marketing - One Time
Event Marketing - Program
Consulting
Branded Entertainment
Content Production
Social Media
Production
Talent Procurement
Amount14
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-
Month
-
Day
Year
Date
Description
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Event Marketing - One Time
Event Marketing - Program
Consulting
Branded Entertainment
Content Production
Social Media
Production
Talent Procurement
Amount15
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-
Month
-
Day
Year
Date
Description
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Event Marketing - One Time
Event Marketing - Program
Consulting
Branded Entertainment
Content Production
Social Media
Production
Talent Procurement
Amount16
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-
Month
-
Day
Year
Date
Description
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Invoice Item
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Event Marketing - One Time
Event Marketing - Program
Consulting
Branded Entertainment
Content Production
Social Media
Production
Talent Procurement
Amount17
Invoice on
-
Month
-
Day
Year
Date
Description
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Invoice Item
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Event Marketing - One Time
Event Marketing - Program
Consulting
Branded Entertainment
Content Production
Social Media
Production
Talent Procurement
Amount18
Invoice on
-
Month
-
Day
Year
Date
Description
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Invoice Item
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Event Marketing - One Time
Event Marketing - Program
Consulting
Branded Entertainment
Content Production
Social Media
Production
Talent Procurement
Amount19
Invoice on
-
Month
-
Day
Year
Date
Description
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Invoice Item
Please Select
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Event Marketing - One Time
Event Marketing - Program
Consulting
Branded Entertainment
Content Production
Social Media
Production
Talent Procurement
Amount20
Invoice on
-
Month
-
Day
Year
Date
Description
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Invoice Item
Please Select
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Event Marketing - One Time
Event Marketing - Program
Consulting
Branded Entertainment
Content Production
Social Media
Production
Talent Procurement
Amount21
Invoice on
-
Month
-
Day
Year
Date
Description
Collapse 21
Invoice Item
Please Select
Pass Through
Event Marketing - One Time
Event Marketing - Program
Consulting
Branded Entertainment
Content Production
Social Media
Production
Talent Procurement
Amount22
Invoice on
-
Month
-
Day
Year
Date
Description
Collapse 22
Invoice Item
Please Select
Pass Through
Event Marketing - One Time
Event Marketing - Program
Consulting
Branded Entertainment
Content Production
Social Media
Production
Talent Procurement
Amount23
Invoice on
-
Month
-
Day
Year
Date
Description
Collapse 23
Invoice Item
Please Select
Pass Through
Event Marketing - One Time
Event Marketing - Program
Consulting
Branded Entertainment
Content Production
Social Media
Production
Talent Procurement
Amount24
Invoice on
-
Month
-
Day
Year
Date
Description
totals collapse
Total Pass Through Amount
Total Fees Amount
Total Job Amount
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Billing Contact Phone
*
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Budget Estimate Information
Total General Corp
Total Digital Social Media
Total Content Production
Total Branded Entertainment
Total Job Fees (-3)
Total Pass Through (-1)
Total Job
Internal Information
Commission Recipient(s)
Commission Percentage
Upload Signed Budget
*
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Account Lead E-mail
*
Account Administrator E-mail
Account Staff E-mail 2
Account Staff E-mail 3
Invoices will be
e-mailed to the account lead and compliance only
Notes -FOR INFORMATIONAL PURPOSES ONLY
Submitter
*
Submission Date
*
Compliance
Cname
Submit to Compliance
Approval Password
Approvals
Email To
Form Approved Compliance?
Yes - Approved for JC Signature
No - Please contact submitter
Compliance Notes
Form Approved JC?
Yes - Approved for BG Signature
No - Return to Compliance
JC Notes
Form Approved BG?
Yes - Approved for CH Signature
No - Return to Compliance
BG Notes
Form Approved CH?
Yes - Submit to Processing
No - Return to Compliance
CH Notes
Submit for Approval / Processing
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