SUMMARY REPORT Today’s Date: __________________

Contract #:

Web Code:

School/Organization Totals

Initial Order

Supplemental Order (2nd, 3rd, etc.) Payment Enclosed

SubNet

School/Sponsor Information

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 Instructions/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/organization and for your records.