WEIGHT CIRCLE CLAIM CHART - Home - ESSFTA

[Pages:2]CLAIM FORM TO: 1. SUBMIT NEW WEIGHT CIRCLES TO OBTAIN PURINA POINTS and/or 2. REDEEM PURINA POINTS FOR REWARDS

REDEMPTION OF PURINA POINTS:

Weight circles are submitted for Purina Points and can be redeemed for Purina? Food Rebate Checks and/or Merchandise and Certificates at various point levels. For your reference, this chart indicates the number of pounds needed to redeem for rewards.

MEMBER NAME:

ADDRESS:

CITY ? STATE ? ZIP CODE:

MEMBERSHIP#:

NUMBER OF POUNDS NEEDED TO REDEEM FOR REBATE CHECKS OR MERCHANDISE AND CERTIFICATES*.

BRAND

Pro Plan? Performance

Purina Points Earned Per Lb.

12 Purina Points

FOR REBATE CHECKS: 7,000 14,000 35,000 49,000

Purina Points Purina Points Purina Points Purina Points

584 lbs 1,167 lbs 2,917 lbs 4,084 lbs

FOR MERCHANDISE AND CERTIFICATES: 5,000 7,500 15,000 35,000 50,000

Purina Points Purina Points Purina Points Purina Points Purina Points

417 lbs 625 lbs 1,250 lbs 2,917 lbs 4,167 lbs

Other Pro Plan? & Purina ONETM

11 Purina Points

637 lbs

1,273 lbs 3,182 lbs 4,455 lbs

455 lbs 682 lbs 1,364 lbs 3,182 lbs 4,545 lbs

All Other Participating Purina? Brands**

8 Purina Points

875 lbs

1,750 lbs 4,375 lbs 6,125 lbs 625 lbs 938 lbs

*Remember, pound requirements may vary if you are submitting weight circles from several brands.

**Excludes BenefulTM, Field 'n Farm? Classic, Dealer's Pride?, Field Master?, and Mainstay? brands.

1,875 lbs 4,375 lbs 6,250 lbs

MAIL THIS CLAIM FORM TO:

PURINA PRO CLUB 1400 SOUTH HIGHWAY DRIVE

FENTON, MO 63026

THIS WEIGHT CIRCLE CLAIM CHART MUST BE FILLED OUT COMPLETELY TO ENSURE PROPER CREDIT TO YOUR ACCOUNT. If you do not check Boxes 1 and/or 2 below, we will credit the weight circles submitted to your account.

WEIGHT CIRCLE CLAIM CHART

BRAND of Weight Circles You are Submitting

Number of Purina Points X Total Number of Pounds

Earned per Lb.

You are Submitting

= Total Purina Points You are Earning

Pro Plan? Performance brand Dog Food

12 pts. per lb.

X

=

Pro Plan? Adult brand Dog Food

11 pts. per lb.

X

=

Pro Plan? Puppy brand Dog Food

11 pts. per lb.

X

=

Purina ONETM Adult brand Dog Food

11 pts. per lb.

X

=

Purina ONETM Puppy brand Dog Food

11 pts. per lb.

X

=

Purina? Dog Chow? brand Dog Food

8 pts. per lb.

X

Purina? Puppy Chow? brand Dog Food

8 pts. per lb.

X

Purina? Hi Pro Dog Food

8 pts. per lb.

X

All Other Participating Purina? Dog Foods*

8 pts. per lb.

X

* Excludes Beneful?, Field `n Farm? Classic, Dealer's Pride?, Field Master? and Mainstay? brands.

= = = = TOTAL

I certify that the information I have provided is accurate. I certify Purina dog foods represented by the enclosed weight circles were not resold and the Purina dog foods were used for feeding purposes for dogs owned by me or under my direct supervision. Signature

#1 Please send me the Purina? Food Rebate Checks indicated here. I have in my account (or have enclosed enough weight circles) to meet the total required number of Purina Points to receive:

#2 Please send me the Merchandise and/or Certificates indicated here. I have in my account (or have enclosed enough weight circles) to meet the total required number of Purina Points to receive: See back for reward listing.

See Terms and Conditions in the Pro Club Rewards Brochure or on-line at .

DESCRIPTION (10) $7 Rebate Checks (20) $7 Rebate Checks (50) $7 Rebate Checks (70) $7 Rebate Checks

QTY

X PURINA POINTS NEEDED

7,000

14,000

35,000

49,000

Please allow 3-5 weeks for shipment.

ITEM NO.

DESCRIPTION

SIZE QTY

= TOTAL PURINA POINTS REDEEMED

TOTAL PURINA POINTS REDEEMED

Please allow 6-8 weeks for shipment.

If you are ordering vet checks, please list your vet clinic name, address and telephone number here: Vet Clinic Name

Street Address City

State

(No P.O. Boxes Accepted)

Zip (Required)

Telephone ( )

QUICK REFERENCE OF

PURINA PRO CLUB? REWARDS

For more information regarding these items (including descriptions, sizes, colors, etc.), visit us on-line at .

REBATE CHECKS FOR PURINA PET FOODS:

7,000 PURINA POINTS

ITEM NUMBER DESCRIPTION 01009 ..................................Ten $7 Purina? Food Rebate Checks

35,000 PURINA POINTS

ITEM NUMBER DESCRIPTION 01028 ..................................Fifty $7 Purina? Food Rebate Checks

14,000 PURINA POINTS

ITEM NUMBER DESCRIPTION 01019 ..................................Twenty $7 Purina? Food Rebate Checks

49,000 PURINA POINTS

ITEM NUMBER DESCRIPTION 01037 ..................................Seventy $7 Purina? Food Rebate Checks

MERCHANDISE & CERTIFICATES:

5,000 PURINA POINTS

ITEM NUMBER DESCRIPTION

RPA 203/RPC 204 ............Micro-Sanded Long-Sleeved Twill Shirt & Brushed Twill Cap

RPJ 205/RPA 209 ..............Authentic Polartec? Vest & Cotton Interlock Turtleneck

RPJ 208/RPA 211 ..............Half-Zip Windbreaker & Long Sleeve T-Shirt

RPA 212/RPC 205

Lee? Heavy Weight Full-Zip Hooded Sweatshirt &

Brushed Cotton Navy Cap

RPA 204/RPA 201.............Long Sleeve Denim Shirt & Short Sleeve Waffle-Weave

Polo Shirt

RPA 213/RPA 208.............Long Sleeve Pique Polo Shirt & Extra-Heavyweight Sweatshirt

01002...................................Purina? Duffel Bag & Golf Umbrella

01006...................................$50 in Blockbuster? Gift Cards

01004...................................Two $25 Applebee's? Gift Certificates

01001...................................Hoover Dubl-DutyTM Wet & Dry Hand Vac

01003...................................Set of 2 Coach? Large Leather Dog Collars

7,500 PURINA POINTS

ITEM NUMBER DESCRIPTION RPJ 202/RPC 201..............Hunter's Hooded Jacket & Advantage Camo Cap RPJ 210/RPC 205..............100% Waterproof Anarak Jacket & Brushed Cotton Navy Cap RPJ 204................................Waterproof Rain Suit RPN 201 .............................Rolling Duffle Bag 01015...................................Purina? Chosen by ChampionsTM Set--includes

Director's Chair, Cooler and Beach Towel 01010...................................One $75 Vet Check made payable to your veterinarian 01012...................................Three Chili's? Grill & Bar $25 Gift Cards 01013...................................$75 in Marriott? Gift Checques 01014...................................$75 in Outdoor World IncentivesTM/Bass Pro Shops?

Gift Certificates

15,000 PURINA POINTS (cont.)

ITEM NUMBER DESCRIPTION RPJ 209/RPA 211/RPC 203 Blaze-Orange Hunting Vest, Long Sleeve T-Shirt and

Blaze-Orange Hunting Cap 01020...................................George Foreman's Extra, Extra Large Grilling Machine 01023...................................One $150 Vet Check made payable to your veterinarian 01021...................................$150 in Cabela's? Gift Certificates 01022...................................$150 in JC Penney? Gift Certificates 01016...................................Eureka Enviro Steamer? 01017...................................Bemis? Air Purifier and Humidifier 01018...................................$150 in Hertz? Car Rental Award Vouchers

35,000 PURINA POINTS

ITEM NUMBER DESCRIPTION 01030...................................One $350 Vet Check made payable to your veterinarian 01031...................................$350 in American Airlines? Gift Certificates 01027...................................$350 Outdoor World IncentivesTM/Bass Pro Shops?

Gift Certificate 01029...................................$350 Best Buy? Gift Certificate 01026...................................E-Z Pyramid Shelter with Canopy

50,000 PURINA POINTS

ITEM NUMBER DESCRIPTION 01039...................................One $500 Vet Check made payable to your veterinarian 01034...................................Canon? Hi-8 Camcorder Kit 01032...................................Olympus Auto Focus Digital Camera 01035...................................Bose Waveradio with CD Player 01036...................................$500 Best Buy? Gift Certificate

15,000 PURINA POINTS

ITEM NUMBER DESCRIPTION RPJ 201................................Purina? Chosen by ChampionsTM Nordic Jacket with

Zip-Out Liner

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