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SUMMARY REPORT Today’s Date: __________________ Contract #: Web Code: School/Organizaon Totals Inial Order Supplemental Order (2nd, 3rd, etc.) Payment Enclosed SubNet School/Sponsor Informaon School Name: ______________________________________________________________________ Street Address: _____________________________________________________________________ City: ____________________________State: _______Zip: _________Phone: ( ____ )_____________ Sponsor’s Name: ___________________________________________ Cell: ( ____ )_____________ Sponsor’s Email: ____________________________________________ Fax: ( ____ )_____________ The contract number is found in the Distributor Portal — Accounts Tab Special Instrucons/Comments AP Distributor For Corporate Office Use Only $ $ $ Total Number Of Orders Gross Dollars School/Org. Retains _______% Amount Due AP__________% Total Number Of SubNet Books ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ __________________ __________________ Date Received Week Box # Count Check # Amount Sorted/Counted By: Preliminary Count ________________________________________________ ________________________________________________ Distributor Name (Printed) Distributor # Company Name Date Orders Mailed To AP: ________________________ Send this form with orders to : American Publishers 2401 Sawmill Parkway, Suite 10 Huron, OH 44839 Phone: 800-284-9711 Fax: 800-801-0473 Be sure to keep a copy for school/organizaon and for your records.
