National German Shorthaired Pointer Association

PURINA HANDLER OF THE YEAR REQUEST

Purina Handler of the Year Participation Form - this should be completed at least 45 days prior to your event.
For Guidelines for the Purina Handler of the Year program - click here

PURINA HANDLER OF THE YEAR REQUEST

Date Submitted
NGSPA Club or Trial Name

Start Date
End Date
Stakes offered

Would you like Purina logo hats, if available?
Do you need a Purina Banner?
Do you need a shipment of Purina Pro Plan to distribute for prizes?
Ship product to this physical address (no PO Boxes)
Contact Name
Contact Phone Number
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.

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 Championship Approval Form online to receive product. 3. Submit this Purina Form online or mail to Keith Richardson, 5025 Campstool Road, Cheyenne, WY 82007, or Fax 307-775-8389. 4. Submit your Essential Data forms online 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 atwybobbi@gmail.com


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