Print Mixed Advertising (Display & Classified), Salford Cooperative Advertising, Claim Form

(Including taxes)

Select the nearest percentage of the ad that is a display advertisement only with no classified equipment listings.

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

Enter the number of and NON-Salford OEM represented in the DISPLAY PORTION of the advertisement. If it is only Salford Group products skip this field or enter 0.

Enter the number of products for each product line represented. Count all Non-Salford products together.

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

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