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Dog_Weight_Circle_Form

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


Membership #:                                                                                                                                                     MAIL THIS CLAIM FORM TO:
Member Name:                                                                                                                                                         PURINA® PRO CLUB®
                                                                                                                                                                 1400 SOUTH HIGHWAY DRIVE
Address:                                                                                                                                                             FENTON, MO 63099
City, State, ZIP:                                                                                                                                                Contact us at: www.purinaproclub.com
                                                                                                                                                                   or call toll-free 1-877-PRO-CLUB.
Address correction requested. Purina Pro Club is not responsible for packages sent to addresses that are not correct.
                                                                                                                           .
                                      NUMBER OF POUNDS NEEDED TO REDEEM FOR DOG FOOD CHECKS OR MERCHANDISE AND CERTIFICATES*
                                                                                        FOR DOG FOOD CHECKS:                                                              FOR MERCHANDISE AND CERTIFICATES:

 BRAND
                                               Purina Points           7,000            14,000            35,000             49,000                  5,000                 7,500                  15,000                  35,000            50,000
                                               Earned Per Lb        Purina Points Purina Points Purina Points Purina Points Purina Points Purina Points Purina Points Purina Points Purina Points
 Pro Plan® Selects®
 Pro Plan® Performance                          12 Purina             584 lbs          1,167 lbs         2,917 lbs          4,084 lbs               417 lbs               625 lbs               1,250 lbs                 2,917 lbs        4,167 lbs
 Pro Plan® Chicken & Rice                        Points
 Purina Veterinary D iets®
 Other Pro Plan® &                              11 Purina             637 lbs          1,273 lbs         3,182 lbs          4,455 lbs               455 lbs               682 lbs               1,364 lbs                 3,182 lbs        4,546 lbs
 Purina ONE®                                      Points
 All Other Participating                         8 Purina             875 lbs          1,750 lbs         4,375 lbs          6,125 lbs               625 lbs               938 lbs               1,875 lbs                 4,375 lbs        6,250 lbs
 Purina® Brands                                   Points
Only weight circles, not UPC codes, are valid for submission and credit to your account.
*Remember, pound requirements may vary if you are submitting weight circles from several brands.

                                                                   WEIGHT CIRCLE CLAIM CHART
                          BRAND of Weight Circles                                                Number of Purina X Total Number of Pounds = Total Purina Points
                            You are Submitting                                                   Points Earned per Lb You are Submitting     You are Earning
 Purina® Pro Plan® brand Dog Food Selects®                                                             12 pts. per lb                     X                                                                       =
 Purina® Pro Plan® brand Dog Food Performance Formula                                                  12 pts. per lb                     X                                                                       =
 Purina® Pro Plan® brand Dog Food Chicken & Rice All Life Stages                                       12 pts. per lb                     X                                                                       =
 Purina Veterinary Diets®                                                                              12 pts. per lb                     X                                                                       =
 Purina® Pro Plan® brand Dog Food                                                                      11 pts. per lb                     X                                                                       =
 Purina® Pro Plan® brand Puppy Food                                                                    11 pts. per lb                     X                                                                       =
 Purina® Pro Plan® brand Dog Food Shredded Blend Formula                                               11 pts. per lb                     X                                                                       =
 Purina ONE® brand Dog Food                                                                            11 pts. per lb                     X                                                                       =
 Purina ONE® brand Puppy Food                                                                          11 pts. per lb                     X                                                                       =
 Purina® Dog Chow® brand Dog Food                                                                       8 pts. per lb                     X                                                                       =
 Purina® Puppy Chow® brand Puppy Food                                                                   8 pts. per lb                     X                                                                       =
 All Other Participating Purina® Dog Foods**                                                            8 pts. per lb                     X                                                                       =
** All other participating Purina Dog foods include Purina Fit & Trim® and Moist & Meaty. Includes Purina® Hi Pro, Kibbles & Chunks,
   Kibbles and Mini Chunks until 12/31/09. Excludes Alpo®, Beneful®, Butcher’s Blend®, Dealers Pride®, Field ‘n Farm®, Fieldmaster®, Jim Dandy®, Mainstay® and all brands of treats
   or canned food. Excludes Purina® Hi Pro, Kibbles & Chunks and Kibbles & Mini Chunks after 12/31/09. All brands not specifically listed herein are also excluded.

I certify that the information I have provided is accurate; enclosed weight circles were acquired by me directly
through my purchase of the Purina® brand dog foods represented by these weight circles, not through the sale
or other transfer of the weight circles to me from someone else; Purina® brand dog foods represented by the                                           Your Current Number of Available
                                                                                                                                                      Purina Points:
enclosed weight circles were used for feeding dogs owned by me or under my direct supervision.

Signature

THIS WEIGHT CIRCLE CLAIM CHART MUST BE FILLED OUT COMPLETELY TO ENSURE
PROPER CR EDIT TO YOUR ACCOUNT.                                                                                     DESCRIPTION                          QTY            X PURINA POINTS NEEDED                    = TOTAL PURINA POINTS REDEEMED
If you do not check Boxes 1 and/or 2 below, we will credit the weight circles submitted to your account.            (10) $7 Dog Food Checks                                        7,000
                                                                                                                    (20) $7 Dog Food Checks                                       14,000
     #1 Please send me the Purina
        indicated here.
                                                               ®
                                                                   Dog Food Checks                                  (50) $7 Dog Food Checks                                       35,000
                                                                                                                    (70) $7 Dog Food Checks                                       49,000
                I have in my account (or have enclosed) enough weight circles to meet the
                                                                                                                                                                   Please allow 3-5 weeks for shipment.
                total required number of Purina Points to receive:
                                                                                                                                                                                                                      TOTAL PURINA POINTS
                                                                                                                     ITEM NO.                      DESCRIPTION                           SIZE           QTY                REDEEMED
     #2 Please send me the Rewards
        indicated here.
                I have in my account (or have enclosed) enough weight circles to meet the
                                                                                                                                                                   Please allow 6-8 weeks for shipment.
                total required number of Purina Points to receive:                                                If you are ordering vet checks, please list your vet clinic name, address and telephone number here: (Vet checks are made payable to your
                                                                                                                  vet, but sent to you.)
                                                                                                                  Vet Clinic Name
See www.purinaproclub.com for a complete list of Pro Club Rewards.
                                                                                                                  Street Address
                                                                                                                                                                                         No P.O. Boxes Accepted
                                                                                                                  City                                          State              ZIP                      Telephone (       )
                                                                                                                                                                                            Required
40023-73-6/09                                                                  Trademarks owned by Société des Produits Nestlé S.A.,Vevey, Switzerland                                                                                      Printed in U.S.A.
                                             PURINA® PRO CLUB® REWARDS
                                             see www.purinaproclub.com for a complete list of Pro Club ® Rewards.



                                             DOG FOOD CHECKS FOR PURINA® DOG FOODS:
                            7,000 PURINA POINTS                                                                              35,000 PURINA POINTS
ITEM NUMBER                 DESCRIPTION                                                          ITEM NUMBER                 DESCRIPTION
01009                       Ten $7 Purina® Dog Food Checks                                       01028                       Fifty $7 Purina® Dog Food Checks
                            14,000 PURINA POINTS                                                                             49,000 PURINA POINTS
ITEM NUMBER                 DESCRIPTION                                                          ITEM NUMBER                 DESCRIPTION
01019                       Twenty $7 Purina® Dog Food Checks                                    01037                       Seventy $7 Purina® Dog Food Checks


               Pro Club® Rewards: See www.purinaproclub.com for a complete list of Pro Club® Rewards.

Purina® Pro Club® Dog Program Terms and Conditions
Membership Agreement
	 •	Providing	false	information	to	gain	Purina	Pro	Club	membership	or	Puppy	Starter	Kits	will	result	in	termination	of	Pro	Club	membership	and	potential	legal	action.	
	 •	Dog	food	bought	by	Pro	Club	members	under	the	terms	of	the	Purina	Pro	Club	will	be	fed	to	dogs	owned	by	the	Pro	Club	member	or	under	the	Pro	Club	member’s	direct	
  	 supervision.	Pro	Club	members	will	not	resell	these	dog	foods	with	the	weight	circles	removed	from	the	bags.	
	 •	Membership	application	requires	the	reading	of	and	agreement	to	comply	with	all	Purina	Pro	Club	terms	and	conditions.
Eligibility
	 •	New	members	must	care	for	5	or	more	dogs	and/or	breed	one	litter	of	puppies	per	year	and	live	in	the	U.S.	
	 •	Only	one	membership	per	household.	Multiple	memberships	from	a	single	household	violates	terms	and	conditions	and	will	result	in	termination	of	the	Pro	Club	account.
	 •	Purina	Pro	Club	is	not	a	program	for	institutional	organizations,	such	as	rescue	groups,	humane	societies,	or	animal	shelters.	
	 •	Account	is	named	member’s	account	only.	Pro	Club	will	not	be	involved	in	disputes	over	account	ownership.	
	 •	It	is	the	responsibility	of	the	Pro	Club	member	to	monitor	who	has	access	to	the	account	information.	Pro	Club	will	not	be	involved	in	disputes	that	are	beyond	the	limitations
  	 of	the	program.	
	 •	Purina	reserves	the	right	to	change	the	rules	or	terminate	the	Pro	Club	program	at	any	time.	Purina	retains	all	rights	pertaining	to	membership,	program	administration,starter	
  	 kits,	rewards,	earnings	and	issuance	of	points.	
Point Accrual and Tracking
	 •	Purina	Points	are	not	a	cash	equivalent	and	do	not	have	cash	value.	
	 •	Only	weight	circles,	not	UPC	codes,	are	valid	for	submission	and	credit	to	your	account.	
	 •	Torn	or	unidentifiable	weight	circles	will	not	be	credited	to	your	account.
	 •	Purina	recommends	that	you	mail	your	weight	circles	by	certified	first	class	mail	or	some	other	traceable	delivery	method	to	ensure	proof	of	delivery	verification	in	the	event	
  	 Pro	Club	does	not	receive	your	weight	circles.	
	 •	Opportunities	may	exist	to	earn	bonus	Purina	Points,	the	value	of	those	points	may	change	at	any	time.	
	 •	There	is	no	cap	to	a	member's	point	earnings	in	the	program.	
	 •	Purina	reserves	the	right	to	terminate	membership	or	remove	or	disqualify	earnings	for	any	violation	of	account	or	program	terms.	
	 •	Weight	Circles	and	points	from	redeemed	weight	circles	cannot	be	purchased	or	otherwise	transferred.	
	 •	Points	expire	three	years	from	date	of	last	activity.	
	 •	You	are	responsible	for	any	taxes	that	may	be	owed	as	a	result	of	points	earned	and/or	redeemed.	
	 •	Please	consult	your	tax	advisor	if	you	have	any	tax	questions	about	the	program.	
Point Redemption and Rewards Information
	 •	Points	can	be	redeemed	for	a	variety	of	rewards.	All	reward	selections	are	subject	to	availability.	Purina	reserves	the	right	to	substitute	items	with	comparable	ones	of	equal	or	
  	 greater	value.	To	redeem	Purina	Points,	members	may	call	Purina	Pro	Club	at	1-877-PRO-CLUB,	between	7:00	a.m.	and	5:00	p.m.	CT,	Monday	through	Friday;	or	visit	us	on-line	
  	 at	www.purinaproclub.com;	or	use	a	Weight	Circle	Claim	Form.	
	 •	Members	can	redeem	at	any	time	if	they	have	enough	points	to	select	an	item	from	the	minimum	redemption	level.	
	 •	Many	rewards	are	issued	as	certificates	by	the	reward	providers.	Rewards	and	reward	providers	are	subject	to	change	and	may	be	discontinued	without	notice.	Purina	reserves	
  	 the	right	to	make	merchandise	substitutions	of	reward	items	at	any	time.	Certificates	cannot	be	replaced	if	lost	or	stolen.	
	 •	Rewards	will	be	sent	to	your	mailing	address	on	file	unless	otherwise	instructed.	By	requesting	shipment	of	a	program	reward	to	a	different	address,	you	assume	sole	
  	 responsibility	for	the	receipt	of	the	reward.	Rewards	will	not	be	shipped	to	an	international	address.	
	 •	Address	correction	is	requested,	as	Purina	Pro	Club	is	not	responsible	for	packages	sent	to	addresses	that	are	not	current.	
	 •	Three	to	five	weeks	should	be	allowed	for	processing	and	delivery	of	checks.	
	 •	Six	to	eight	weeks	should	be	allowed	for	processing	and	delivery	of	Merchandise,	Gift	Cards	and	Gift	Certificates.	
	 •	Reward	certificates	are	void	if	altered	or	where	prohibited	by	law.	
	 •	Rewards	are	subject	to	the	terms	and	conditions	imposed	by	the	reward	provider.	
	 •	Expiration	of	reward	certificates	is	subject	to	the	policy	of	the	reward	provider.	See	the	individual	reward	certificate	for	details	of	specific	expiration	dates.	
	 •	Neither	Maritz	nor	Purina	assume	liability	for	use	or	misuse	of	gift	certificates	or	merchandise	after	shipment	to	the	member.	
	 •	Rewards	cannot	be	purchased	with	cash	or	any	cash	equivalent.	
	 •	Upon	redemption,	point	totals	are	automatically	adjusted.	Point	adjustments	will	also	be	made	for	all	returns	of	merchandise.	
	 •	Any	damaged	or	defective	merchandise	will	be	accepted	for	an	exchange	within	90	days	of	redemption.	
	 •	Purina	Pro	Club	will	not	conduct	delivery	inquiries	more	then	6	months	from	the	date	of	the	order.
Starter Kits
	 •	Puppy		Starter	Kits	are	complementary	to	Pro	Club	Members	but	quantities	are	limited	and	determined	at	the	discretion	of	Purina	Pro	Club.	
Accumulation of Earnings/Checking Earnings
	 •	Visit	www.purinaproclub.com	or	call	1-877-PRO-CLUB	(1-877-776-2582)	to	review	your	Purina	Point	balance.	
Check Information
	 •	Purina	checks	will	have	a	one-year	expiration	and	cannot	be	reissued	if	recipient	allows	them	to	expire.	
	 •	Dog	Food	Checks,	Veterinary	Checks,	Gift	Certificates	and	Gift	Cards	should	be	protected	like	cash	by	Pro	Club	members.	Purina	is	not	responsible	for	replacement	in the	event	
  	 of	loss,	theft	or	destruction	after	issuance.	Checks,	Gift	Certificates	and	Gift	Cards	will	not	be	reissued.	

				
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