Coupon details Start date of barcode validity 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January February March April May June July August September October November December 2012 2013 2014 End date of barcode validity 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January February March April May June July August September October November December 2012 2013 2014 Coupon value (£) (e.g 0.50) Please attach a packshot for the coupon Please give a full coupon description (e.g. Save 30p when you buy...) Funding details Supplier name(s) Supplier account number Account number to be debited Note: 100% of coupon redemptions are to be funded by the supplier unless otherwise agreed with the Tesco Buyer Number coupons per store per day Total print quantity Product details Please enter details for each product you wish to demonstrate, minimum of one, up to a maximum of ten. Sub group Base TPN-Bs (e.g. 054380405) This form will be sent to lime (Tel: 020 7071 2500, Fax:020 7071 1007) for approval and completion. Once it has been processed it will be sent to Alison Gamble of Tesco Barcoding.