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

Dealership Name

Dealership Country

Dealership Contact, Name

Dealership Contact, Email

Advertising Company

Ad Invoice Number

Date of Advertisement

(YYYY-MM-DD)

yyyy-mm-dd

Promotional Cost, Total

(Including taxes)

Promotional Cost, Taxes

Print Publication Page Number

Display advertising portion

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

Display Advertising Products

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

Check, NOT SALFORD

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.

AerWay Agricultural Products

BBI Spreaders

Salford I-Series

Salford HALO Models

Salford 5200 Enforcer

Salford Cultivators

Salford Tillage (all other tillage equipment not listed above)

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

Valmar Air Boom Spreaders

Classified Listing Advertising

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

QTY, NOT SALFORD

AerWay Agricultural Products

BBI Spreaders

Salford I-Series

Salford HALO models

Salford 5200

Salford Cultivators

Salford Tillage (all other Salford tillage products not listed above)

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

Valmar Air Boom Spreaders

Attachment Advertising Invoice and Copy of the Advertisement

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

Drop your files here

Send me a copy of my responses

Report Abuse