World Alive Affiliate Monthly Claim Form
Please copy+paste this form into an email.
Complete the form at the beginning of the month for the preceding month. 
Email the form to accounts@world-alive.com. (Note: Attachments are not accepted)
We normally process remittances on the last Friday of the month.
(For security, you MUST use the email address on your Affiliation Form)

Monthly Return for:  __(Month), ____ (Year)
(Please do not include claims for dates outwith this month)

Your Name:  ____________________________________________    Your UserName:  ______________________________________

Total No of Notices Posted during Month:  ____________    Total Value of Notices Posted during Month:  ____________    

Total Claim:  ____________  (25% of the Total Value of Sales) 

Details of Claim

Date: __________  Section: ___________________________________________  Notice Number: _______  Price: ________________

Date: __________  Section: ___________________________________________  Notice Number: _______  Price: ________________

Date: __________  Section: ___________________________________________  Notice Number: _______  Price: ________________

Date: __________  Section: ___________________________________________  Notice Number: _______  Price: ________________

Date: __________  Section: ___________________________________________  Notice Number: _______  Price: ________________


(Copy & Paste additional lines if required)