

Premier–12–58
Co-operative Merchandising and Advertising Claim Form
:# tnuoccA nroblleW
Your Company Name
Contact
Date
Mailing Address
enohP
piZ & etatS,ytiC
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.comEmail 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.