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Effie Worldwide: Partner Invoice Information Form

1.Today's Date(Required.)
Date
2.Title(Required.)
3.Full name(Required.)
4.Email address(Required.)
5.Confirm the official name of the program(Required.)
6.Entity Information (Company Name & Address) to be added to the invoice.(Required.)
7.Please enter the Awards Gala date(Required.)
Date
8.What do you call this year's program? (e.g. Effie Portugal 2025? Effie Finland 2025?, etc.)(Required.)
9.How many total entries did this Effie competition receive?(Required.)
10.Date your program opened for entries(Required.)
Date
11.First Entry Deadline(Required.)
Date
12.Number of entries received at this level(Required.)
13.Price for entry prior to deadline 1 (in local currency)(Required.)
14.Second Entry Deadline - If this does not apply please leave blank.
Date
15.Number of entries received at this level - If this does not apply, please write "N/A"(Required.)
16.Price for entry prior to this deadline (in local currency) - If this does not apply, please write "N/A"(Required.)
17.Third Entry Deadline - If this does not apply please leave blank.
Date
18.Number of entries received at this level - If this does not apply, please write "N/A"(Required.)
19.Price for entry prior to this deadline (in local currency) - If this does not apply, please write "N/A"(Required.)
20.Fourth Entry Deadline - If this does not apply please leave blank.
Date
21.Number of entries received at this level - If this does not apply, please write "N/A"(Required.)
22.Price for entry prior to this deadline (in local currency) - If this does not apply, please write "N/A"(Required.)
23.Fifth Entry Deadline - If this does not apply please leave blank.
Date 
24.Number of entries received at this level - If this does not apply, please write "N/A"(Required.)
25.Price for entry prior to this deadline (in local currency) - If this does not apply, please write "N/A"(Required.)
26.Were there any discounts or additional fees (e.g., discounts for members of your association, etc.)?

If yes, please list the details in the attached Excel sheet included with the email containing this form link. After completing the information, save the Excel sheet as a PDF and upload it in the field below.
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27.File Upload: You may upload any additional documents that provide helpful information for Effie Worldwide to note when generating an invoice.
No file chosen
28.Please provide any additional details that may be helpful to Effie Worldwide when calculating the annual invoice.
29.Total entry income (in the currency in which entry fees are collected)(Required.)
30.Please specify the name of the currency in which entry fees are collected.(Required.)
Thank you for completing the Effie Invoice Information Form. Should you have any questions please email Effie Worldwide at ww@effie.org
.