Mentor Invoice Claim

Mentor Invoice

Please ensure that all your information is entered correctly here and that all SPELLING is accurate.

Name

First

Last

I wish to invoice as

Myself

My Company

Your Company Name and Address

Your Personal Invoice Address

Invoice Details

I am hereby invoicing Warnborough College for:

for the services of

Student/Class Name

The amount of

Currency

The college already has my payment details

Payment Details

Enter your Paypal address or for bank transfers, provide your bank name/address, IBAN, account number, sort/routing code, SWIFT/BIC code

Please pay me by

PayPal

Bank Transfer

If other service was provided, please elaborate

Notes, if any

Declaration

PLEASE READ AND UNDERSTAND BEFORE SUBMITTING THIS FORM
I hereby declare that all hours and charges submitted are accurate and in line with the contract I signed with Warnborough for such services. I understand that payment may be withheld or changed if I breach any terms of the contract. I understand that I am responsible for any bank charges or taxes for receiving this fee(s) for my services.

Slide this scale to 100 to signify everything is accurate.

Signature Date

If you are human, leave this field blank.

Warnborough College Ireland
Tel: +353 (0) 1 814 8670
Email: info@warnborough.ie

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