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Premier–12–58

Co-operative Merchandising and Advertising Claim Form

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Your Company Name

Contact

Date

Mailing Address

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Merchandising Claims

100%

1. Marketing Literature

2. Training Materials

3. Product Samples

4. Wellborn Promotions

5. Customer Start-Up Kit

6. Wellborn Academy

Training Seminars

Flights

Mileage

Start

End

Hotels

7. Other

Explain:

Advertising Claims

50%

A. Television, Radio & Internet

B. Premium Items

C. Newspapers, Magazines, Catalogs,

Circulars, Flyers & Inserts

D. Direct Mail & Statement Stuffers

E. Trade & Consumer Shows

F. Outdoor & Indoor Advertising

G. Yellow Page & National YP Program

H. Dealer Open House & Business Meeting

I. Merchandising, Sales & Promo Programs

J. Model Home & Parade of Homes

K. Wellborn Web Site Link Fee

L. NARI & NAHB Remodeler’s Co-op Dues

Explain:

38669 Highway 77 • P.O. Box 1210 • Ashland,AL 36251

(256) 354-7151 • 1-800-762-4475 • FAX (256) 354-1874

coop@wellborn.com

Email Address:

M. Other

Items to include with this form if claiming the following:

Samples & Literature

Copies of paid invoices

Wellborn Academy

Receipts from hotel & airfare

Photographic Services

Copies of paid invoices

Billboards

Copies of invoices & picture of the billboard

Truck Decals

Copies of invoices & picture of the installed graphics

TV & Radio Advertising

Copies of invoices, scripts & program log verification

Internet Advertising

Copies of invoices & copy of ad or website

Print Advertising

Copies of invoices & color copy of ad

Direct Mail

Copies of invoices & color copy of item mailed

Trade & Consumer Shows

Floor space contract, cabinet layout & photo of display

National Yellow Page Program Copy of National Direct Media Service invoice

Model Home/ Parade of Homes

Copies of paid invoices, layouts & photos of installed Cabinets

Promotional Products

Copies of invoices & picture of embroidered or imprinted item

Co-operative Merchandising and Advertising Claim Form

Submit form via Mail, Fax or Email to the attention of Co-op.