CLAIM FORM TO 1 SUBMIT NEW WEIGHT CIRCLES TO OBTAIN PURINA POINTS and or by dtj80147

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									                                                                  CLAIM FORM TO : 1. SUBMIT NEW WEIGHT CIRCLES TO OBTAIN PURINA POINTS and/or
                                                                                  2. REDEEM PURINA POINTS FOR REWARDS
                                                                                  NUMBER OF POUNDS NEEDED TO REDEEM FOR REBATE CHECKS OR MERCHANDISE AND CERTIFICATES*.
                                                                                                                                    FOR REBATE CHECKS :                                       FOR MERCHANDISE AND CERTIFIC ATES :
REDEMPTION OF PURINA POINTS:                                                      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
Weight circles are submitted for Purina Points and                                Pro Plan   ®
                                                                                                   12 Purina
                                                                                  Performance        Points          584 lbs        1,167 lbs        2,917 lbs          4,084 lbs          417 lbs        625 lbs    1,250 lbs 2,917 lbs 4,167 lbs
can be redeemed for Purina® Food Rebate Checks
                                                                                  Other            11 Purina
and/or Merchandise and Certificates at various point                              Pro Plan & ®

                                                                                                     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
                                                                                  Purina ONE™
levels. For your reference, this chart indicates the                              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
number of pounds needed to redeem for rewards.                                    Purina ®          Points
                                                                                  Brands**
                                                                                 *Remember, pound requirements may vary if you are submitting weight circles from several brands.
MEMBER NAME:                                                                     **Excludes Beneful™, Field 'n Farm® Classic, Dealer's Pride®, Field Master®, and Mainstay® brands.


                                                                                                                                                     MAIL THIS CLAIM FORM TO :
ADDRESS:
                                                                                                                                                         PURINA PRO CLUB
CITY • STATE • ZIP CODE:
                                                                                                                                                    1400 SOUTH HIGHWAY DRIVE
MEMBERSHIP#:
                                                                                                                                                        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                                        Number of Purina Points                             X Total Number of Pounds                                               = Total Purina Points
                  are Submitting                                                   Earned per Lb.                                      You are Submitting                                                    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 ONE™ Adult brand Dog Food                                                           11 pts. per lb.                    X                                                                     =
  Purina ONE™ 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
                                                            ®                                                                                                       X       PURINA POINTS                     = TOTAL PURINA POINTS
       #1 indicated here. the Purina
          Please send me                                        Food Rebate Checks                                 DESCRIPTION                        QTY                     NEEDED                                 REDEEMED
                                                                                                         (10) $7 Rebate Checks                                                     7,000
                I have in my account (or have enclosed enough weight
                circles) to meet the total required number of Purina                                     (20) $7 Rebate Checks                                                   14,000
                Points to receive:                                                                       (50) $7 Rebate Checks                                                   35,000
                                                                                                         (70) $7 Rebate Checks                                                   49,000
                                                                                                                                                             Please allow 3-5 weeks for shipment.


       #2 indicated here. the Merchandise and/or Certificates
          Please send me                                                                                  ITEM NO.                         DESCRIPTION                                  SIZE QTY             TOTAL PURINA POINTS
                                                                                                                                                                                                                  REDEEMED

                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.                                                                                              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
 See Terms and Conditions in the Pro Club Rewards Brochure
                                                                                                      Street Address
          or on-line at www.purinaproclub.com.                                                                                                                             (No P.O. Boxes Accepted)

                                                                                                      City                                           State              Zip                                Telephone (           )
                                                                                                                                                                                        (Required)
                                                          QUICK REFERENCE OF
                                                                                                         ®
                                                          PURINA PRO CLUB REWARDS
                                                          For more information regarding these items (including descriptions, sizes, colors, etc.), visit us on-line at www.purinaproclub.com.




REBATE CHECKS FOR PURINA PET FOODS :
7,000 PURINA POINTS                                                                                          35,000 PURINA POINTS
ITEM NUMBER                     DESCRIPTION                                                                  ITEM NUMBER                    DESCRIPTION
                                                 ®
01009 ..................................Ten $7 Purina Food Rebate Checks                                     01028 ..................................Fifty $7 Purina® Food Rebate Checks


14,000 PURINA POINTS                                                                                         49,000 PURINA POINTS
ITEM NUMBER                     DESCRIPTION                                                                  ITEM NUMBER                    DESCRIPTION
01019 ..................................Twenty $7 Purina® Food Rebate Checks                                 01037 ..................................Seventy $7 Purina® Food Rebate Checks




MERCHANDISE & CERTIFICATES :
5,000 PURINA POINTS                                                                                          15,000 PURINA POINTS (cont.)
ITEM NUMBER                     DESCRIPTION                                                                  ITEM NUMBER                    DESCRIPTION
RPA 203/RPC 204 ............Micro-Sanded Long-Sleeved Twill Shirt & Brushed Twill Cap                        RPJ 209/RPA 211/RPC 203 Blaze-Orange Hunting Vest, Long Sleeve T-Shirt and
RPJ 205/RPA 209 ..............Authentic Polartec® Vest & Cotton Interlock Turtleneck                                                        Blaze-Orange Hunting Cap
RPJ 208/RPA 211 ..............Half-Zip Windbreaker & Long Sleeve T-Shirt                                     01020...................................George Foreman’s Extra, Extra Large Grilling Machine
RPA 212/RPC 205                 Lee® Heavy Weight Full-Zip Hooded Sweatshirt &                               01023...................................One $150 Vet Check made payable to your veterinarian
                                Brushed Cotton Navy Cap                                                      01021...................................$150 in Cabela’s® Gift Certificates
RPA 204/RPA 201.............Long Sleeve Denim Shirt & Short Sleeve Waffle-Weave                              01022...................................$150 in JC Penney® Gift Certificates
                                Polo Shirt                                                                   01016...................................Eureka Enviro Steamer®
RPA 213/RPA 208.............Long Sleeve Pique Polo Shirt & Extra-Heavyweight Sweatshirt                      01017...................................Bemis® Air Purifier and Humidifier
                                        ®
01002...................................Purina Duffel Bag & Golf Umbrella                                    01018...................................$150 in Hertz® Car Rental Award Vouchers
                                                          ®
01006...................................$50 in Blockbuster Gift Cards
01004...................................Two $25 Applebee’s® Gift Certificates                                35,000 PURINA POINTS
01001...................................Hoover Dubl-Duty™ Wet & Dry Hand Vac                                 ITEM NUMBER                    DESCRIPTION
01003...................................Set of 2 Coach® Large Leather Dog Collars                            01030...................................One $350 Vet Check made payable to your veterinarian
                                                                                                             01031...................................$350 in American Airlines® Gift Certificates
                                                                                                             01027...................................$350 Outdoor World Incentives™/Bass Pro Shops®
7,500 PURINA POINTS
                                                                                                                                            Gift Certificate
ITEM NUMBER                     DESCRIPTION
                                                                                                             01029...................................$350 Best Buy® Gift Certificate
RPJ 202/RPC 201..............Hunter’s Hooded Jacket & Advantage Camo Cap
                                                                                                             01026...................................E-Z Pyramid Shelter with Canopy
RPJ 210/RPC 205..............100% Waterproof Anarak Jacket & Brushed Cotton Navy Cap
RPJ 204................................Waterproof Rain Suit
RPN 201 .............................Rolling Duffle Bag
                                                                                                             50,000 PURINA POINTS
                                        ®                                                                    ITEM NUMBER                    DESCRIPTION
01015...................................Purina Chosen by Champions™ Set—includes
                                                                                                             01039...................................One $500 Vet Check made payable to your veterinarian
                                Director’s Chair, Cooler and Beach Towel
                                                                                                             01034...................................Canon® Hi-8 Camcorder Kit
01010...................................One $75 Vet Check made payable to your veterinarian
                                                                                                             01032...................................Olympus Auto Focus Digital Camera
01012...................................Three Chili’s® Grill & Bar $25 Gift Cards
                                                                                                             01035...................................Bose Waveradio with CD Player
01013...................................$75 in Marriott® Gift Checques
                                                                                                             01036...................................$500 Best Buy® Gift Certificate
01014...................................$75 in Outdoor World Incentives™/Bass Pro Shops®
                                Gift Certificates


15,000 PURINA POINTS
ITEM NUMBER                     DESCRIPTION
RPJ 201................................Purina® Chosen by Champions™ Nordic Jacket with
                                Zip-Out Liner

								
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