Q4 2020 ANIMAL HEALTH PROMOTION REDEMPTION FORM

  • INSTRUCTIONS:

    • Fill in ALL fields.
    • ALL information must be completed in order to receive promotional item per “Sunshine Act” requirement.
    • Scan your invoice, save as a jpg or pdf, and submit it using the option in the form below.
    • This form must be submitted no later than January 31, 2021.
  • Date Format: MM slash DD slash YYYY
  • note: to enter multiple units, please separate each number with a comma
  • note: to enter multiple units, please separate each number with a comma
  • note: to enter multiple units, please separate each number with a comma.
  • Drop files here or
    Accepted file types: jpg, jpeg, pdf.
    note: jpg or pdf Image Format Required. Multiple images may be uploaded
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