Online Advertising, Cooperative Advertising, Claim Form

Online Advertising, Cooperative Advertising,

Claim Form

Dealership Name*

Dealership Contact, Name*

Dealership Contact, Email*

Advertising Company*

Ad Invoice Number*

Advertising Start Date*

(YYYY-MM-DD)

Promotional Cost, Total*

(Including Taxes)

Promotional Cost, Taxes

Non-Salford Products Featured in the Ad*

Enter the number of NON-Salford Equipment manufacturers represented in the advertisement. If it is only Salford Group products skip this field or enter 0.

Online Advertising Products

Select each Salford Group product that is features in your Online advertising.

AerWay Ag

BBI Spreaders

Salford I-Series

Salford HALO models

Salford 5200 Enforcer

Salford Cultivators

Salford, Other Tillage

Valmar 56 Series and ST-Series applicators (including PathFinder)

Valmar Air Boom

Attachment Advertising Invoice and Copy of the Advertisement*

You can attach multiple files by clicking on the upload button again and selecting another file.

Drag and drop files here or

Comments

Send me a copy of my responses

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