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Insertion Order Form Template

Streamline Your Ad Ordering Process with Our Template

Creating ad campaigns can be complicated when it comes to managing orders effectively. This Insertion Order Form Template is ideal for advertising agencies, marketing teams, or small businesses looking to streamline their ad purchasing process. You can capture critical details like client information, ad specifications, and payment terms, enhance accuracy in order tracking, minimize miscommunication, and save time on manual paperwork. Explore how easy it is to customize and automate your ad orders with this live template.

Advertiser company
Agency company (if applicable)
Insertion order (IO) number
Order date
Campaign name
Campaign objective
Awareness
Consideration / Traffic
Lead generation
Sales / Conversion
App installs
Engagement
Not specified
Other
Please Specify:
Flight start date
Flight end date
Total budget amount
Budget currency
USD
EUR
GBP
AUD
CAD
Other
Please Specify:
Primary pricing model
CPM
CPC
CPA
CPI
CPV
Flat fee
Hybrid
Not specified
Other
Please Specify:
Primary contact name
Primary contact email
Primary contact phone
Billing contact name
Billing contact email
Billing contact phone
Placement / inventory name
Rate (include currency and units, e.g., $5 CPM)
Quantity goal (e.g., impressions, clicks, conversions)
Additional line items or placement details
Ad formats
Please Specify:
Geography (countries/regions/cities)
Devices
Desktop
Mobile web
Mobile app
Tablet
CTV / OTT
All devices
Not specified
Audience targeting details (demographics, interests, lists)
Brand safety level
None
Standard
Enhanced
Custom
Not specified
Creatives provided
Yes
No
Tracking pixels or click-through URLs
Ad server / tag provider
Google Campaign Manager
Sizmek
Flashtalking
Innovid
Not applicable
Other
Please Specify:
Legal entity name for invoicing
Billing address
Invoicing email
Net payment terms
Due upon receipt
Net 15
Net 30
Net 45
Net 60
Other
Please Specify:
Makegood policy preference
Added value impressions
Credit on future buys
Refund
Rerun missed delivery
Not applicable
Other
Please Specify:
Special terms or notes
Authorized signer full name (type to sign)
Authorized signer title
Signature date
I confirm I am authorized to execute this insertion order
Yes
No
{"name":"Advertiser company", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"Advertiser company, Agency company (if applicable), Insertion order (IO) number","img":"https://www.quiz-maker.com/3012/images/ogquiz.png"}
Paper art illustration showcasing an Insertion Order Form template for FormCreatorAI article

When to use this form

Use this form when you need a clear, agreed record of an ad buy between your team and a publisher. It suits agencies, in-house marketers, and sales reps who must confirm placements, rates, dates, and deliverables before launch. Typical scenarios: locking in a quarterly display package, reserving print space for a product launch, or adding a last-minute social placement with strict budget caps. You capture legal entity details, flight dates, units and formats, targeting, cancellation terms, and billing notes so finance and ad ops stay aligned. For campaign context, pair it with the Pre job brief form. If creative files and specs are still pending, attach or request them through the Ad submission form.

Must Ask Insertion Order Questions

  1. What is the advertiser's legal entity and billing contact?

    This locks the agreement to the correct company and ensures invoices reach the right person on time. You reduce disputes over names, tax IDs, and purchase orders.

  2. What are the campaign objectives and primary KPI?

    Clear goals guide which placements and rate types you approve. They also define reporting so both sides judge success the same way.

  3. What are the flight dates, delivery schedule, and deadlines?

    Dates and pacing help ad ops traffic on time and avoid underdelivery. You also prevent missed print closes and coordinate creative swaps.

  4. Which placements, formats, sizes, and targeting are included?

    Specific inventory and specs prevent scope creep and make setup accurate. If creative is not yet built, route the work with the Creative project request form.

  5. What is the budget, rate type (CPM/CPC/flat), caps, and makegood or cancellation terms?

    This protects your spend and sets how over- or under-delivery will be handled. It also lets finance forecast cash flow and reconcile invoices.

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