Purina Handler of the Year Program

NGSPA Participation Form (This form should be completed at least 45 days prior to the trial)
For Guidelines regarding Purina's Handler of the Year Program, click here

Date Submitted
NGSPA Club or Trial Name
Start Date
End Date
Stakes Offered
Would you like Purina Logo hats, if available	yes
Do you need a purina banner?	yes
Do you want a shipment of Purina Pro Plan to distribute for prizes?	yes
Ship product to this physical address (No PO Boxes)
Contact Name
Contact Phone
Contact Email

Approved NGSPA Trials with an ad in American Field will receive a $400.00 payment from Purina. The following information MUST be completed:

Club Name (payee)
Tax ID (EIN) # (or SS# with Name)
Mail payment to (zip+4 required) No PO Boxes
Email Address for confirmation
Email Address of Person completing this form	A value is required.Invalid format.

IMPORTANT NOTES:

1 Under this program all American Field ads must contain the Purina logo, and this statement: “A Purina Handler of the Year Points Trial”
2. Submit your Event Approval Form on http://www.ngspa.org/form-approval.html to receive product.
3. Submit this Form: on line: http://ngspa.org/form-purina.html or mail to Keith Richardson, 5025 Campstool Road, Cheyenne, WY 82007, or Fax 307-775-8389.
4. Submit your Essential Data Forms on http://www.ngspa.org/form-results.html to receive payment. You must complete a form for each stake. Once these forms are sumitted, an invoice will be sent by Keith to Purina. Notification of the check request will be sent to the above listed email.
5.Questions? Call Bobbi Richardson at 307-637-4714 (home) or 307-630-1514 (cell). Or, email Bobbi at brichardson@sierratradingpost.com

Complete prior to event

COMPLETE AFTER EVENT

Post Event Summary Form
Essential Data Form (complete one form for each stake)