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Weekly Sales Report Form
Sales Agent Information
Name of Sales Agent
*
Week Ending Date:
*
Submission Date:
*
Sales Record
SALE #1
Advertiser/Business Name:
*
Contact Person:
*
Phone Number:
*
Email Address:
*
Sales Type:
*
Annual
Monthly
Sales Amount ($):
*
Commission Rate (%):
*
Commission Amount ($):
*
Date of Sale:
*
SALE #2
Check the box if No Sale
No Sale
Date of Sale:
Advertiser/Business Name:
Contact Person:
Phone Number:
Email Address:
Sales Type:
Annual
Monthly
Sales Amount ($):
Commission Rate (%):
Commission Amount ($):
SALE #3
Check the box if No Sale
No Sale
Advertiser/Business Name:
Contact Person:
Phone Number:
Email Address:
Sales Type:
Annual
Monthly
Sales Amount ($):
Commission Rate (%):
Commission Amount ($):
Date of Sale:
SALE #4
Check the box if No Sale
No Sale
Advertiser/Business Name:
Contact Person:
Phone Number:
Email Address:
Sales Type:
Annual
Monthly
Sales Amount ($):
Commission Rate (%):
Commission Amount ($):
Date of Sale:
SALE #5
Check the box if No Sale
No Sale
Advertiser/Business Name:
Contact Person:
Phone Number:
Email Address:
Sales Type:
Annual
Monthly
Sales Amount ($):
Commission Rate (%):
Commission Amount ($):
Date of Sale:
Weekly Summary
Total Number of Sales for this week:
*
Total Commission Due for this week:
*
Sales Agent Certification
Sales Agent Signature
I certify that the information provided in this report is accurate and complete.
Sign here
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Date
*
Office Use Only
Reviewed by:
Date Received
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