FOR SUBMISSION DEADLINES, Rebate Offer

Rebate Offer

FOR SUBMISSION DEADLINES, refer to the tearpad, email or other notification

that describes your rebate offer.

HOW TO GET YOUR REBATE CARD:

1. Complete this form.

All sections marked with asterisks must be completed to receive rebate.

2. Include original veterinary hospital invoice.

3. Mail completed form and original invoice to:

Elanco Rebates P.O. Box 540031 El Paso, TX 88554

Promo Code From Your Rebate Offer* (Promo code length varies. Enter code exactly as it is printed, including any hyphens.)

First Name*

Last Name*

Street Address*

City*

State*

ZIP Code*

Email Address

By providing your email address and checking yes below, you are opting in to receive monthly dosage reminders. Your email address will only be used for purposes of administrating your rebate unless you have opted in to Dosage Reminders below.

Dosage Reminders (check one)

Date of Last Administered Dose

Doses Left

YES! Please sign me up for monthly dosage reminders via email.

NO

/

/

Dosing and refill reminders are only available for Comfortis? (spinosad), Cheristin? for cats (spinetoram), EasySpot? for Cats (fipronil), Interceptor? (milbemycin oxime), Interceptor? Plus (milbemycin oxime/praziquantel), Parastar? Plus for dogs (fipronil/cyphenothrin), Parastar? for dogs (fipronil) and Trifexis? (spinosad + milbemycin oxime).

Species (check one)

DOG

CAT

Pet Name

Product Purchased*

Supply* (Example: 12-month)

Veterinary Clinic Name* Street Address* City*

State*

ZIP Code*

Rebate provided on a Visa? Prepaid Card that is issued by MetaBank?, Member FDIC, pursuant to a license from Visa U.S.A. Inc. No cash access or recurring payments. Card valid for up to 6 months; unused funds will be forfeited at midnight EST the last day of the month of the valid thru date. Card terms conditions and expiration apply.

For submission deadlines, refer to the tearpad, email or other notification that describes your rebate offer. To redeem your rebate, we require an original licensed veterinary hospital invoice that indicates an Elanco product purchase. Clinic information and date of purchase must be clear and legible. This offer may not be combined with any other offer and household limits may apply. Elanco reserves the right to amend, substitute or withdraw this offer at any time without notice. Offer may be redeemed only by pet owner and is valid only in U.S. and U.S. Territories. Void where prohibited or restricted by law. All federal, state and local laws and regulations apply. Fraudulent submission of multiple requests and/or providing false information disqualifies any rebate request and could result in federal prosecution under mail fraud statutes (Title 18, USC Sections 1341 & 1342) as well as applicable state laws. For questions regarding rebate submission, please call (844) 408-8476.

By submitting my rebate, I agree to Elanco using my personal information for purposes of administration of my rebate, OR for reminders or additional communications if I have opted in to receiving. Elanco will handle your personal information in accordance with our Privacy Policy on privacy.

YES! I'd like to receive direct mail and e-mail updates about companion animal products from Elanco. We will handle your information in accordance with our Privacy Statement. I understand that the information I am providing may be used by Eli Lilly and Company and its business partners to provide me with information about animal health conditions and products, to contact me to see if I'd like to participate in product research activities, and to learn about and develop products and services. If you have any questions regarding our handling of your personal information, please contact us at Consumer Rebate Program, 2500 Innovation Way, Greenfield, IN 46140 or by calling Elanco at 1-888-545-5973.

Cheristin, Comfortis, Interceptor, EasySpot, Parastar, Trifexis, Elanco and the diagonal bar are trademarks owned by or licensed to Eli Lilly and Company, its subsidiaries or affiliates.

? 2017 Eli Lilly and Company or its affiliates. USCAHMUL01439(1)

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download