Schneider Electric Channel Guide

Schneider Electric Canada Partnership Agreement 2010 - Appendix III - MDF Claim Form
Activity Pre-Approval, Payment and Cheque Requisition Form
All promotional and training activities must be pre-approved, using this form, in advance

Part 1

Acct. No.:

93022

Branch:

Ideal Supply Inc.

Title:

(Limit 40 chars.)

Start Date:

End Date:

Goals /
Activity Desc:

Products Updates and Refreshers BBQ at Ideal Barrie Breakfast Counter Days at Ideal Huntsville and Ideal Parry Sound

Dist. Rep.:

Regional Channel Mgr:

Sproule, Jeff

Volume Goal $:

Cost $:
do not include taxes

Results $:

Pay or Accrue:

Pay

Budget Year:

Activity:	BDF		EDF	Training
	Customer Relations Activities 50/50% Open House / Counter Day Advertising (Specify) Promotion (Specify) Lunch & Learn	Trade Show Visibility AMP Merchandise Specialist Demo	SEM-Search Engine Marketing Campaigns Enablers(Systems Upgrade)	Training - Schneider Training Inst. Training - (Other Source) Training - Accommodation / Travel 50% Reimb.

Specification Notes
Purchase made through Butler Marketing

Part 2

(To be completed when requesting payment)

Cheque Payable To:

Cheque Amount: $

Requested By:

Requested Date:

To claim taxes, invoice issued to Schneider Electric must accompany claim

SAP COST CENTER

IO#	Debit Amt. $	Credit Amt. $
6000003248
GST
PST
HST

Approved By:

Approved Date:

Address

24 Cedar Point Business Pk
Barrie, Ontario, L4N 5R7

Remit to Address

1045 Wallace Avenue North
Listowel, Ontario, N4W 1M6

Vendor ID#:

Schneider Ref#: 7856

Attn:

Invoice #: