Free Advertising Media Billing Reconciliation Form Template

Advertising Media Billing Reconciliation Form

Please complete all sections diligently to ensure accurate reconciliation of billed advertising media with actual expenditures. Provide detailed information for each part to streamline a thorough review and approval process.

Date: [Month Day, Year]

General Information

Name:

[Client’s Name]

Campaign Name:

[Campaign Name]

Campaign Period:

[Month Day, Year] - [Month Day, Year]

Account Manager:

[Account Manager’s Name]

Billed Advertising Media

Media Type

Placement

Billed Amount

Billing Date

Television

TV Network

$15,000

March 15, 2050

Actual Media Spend

Media Type

Placement

Amount Spent 

Payment Date

Television

TV Network

$14,500

March 30, 2050

Reconciliation Summary

Total Billed Amount:

$32,000

Actual Amount Spent:

Difference:

Approval

[Approver's Name]

[Approver's Job Title]


Date: [Month Day, Year]

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