Co-Op Advertising Claim Form - Kelly Tillage USA

Co-op Advertising Claim Form

Dealer Name*
Address*
Street Address Address Line 2 City State ZIP Code
Dealer Fed. ID no.*
Contact Person
Name*
Email*
Phone*
Advertisement Information*
Date of Ad Name of Publication
Total Ad Cost*
Enter total cost of advertisement before reimbursement.
Cost to be reimbursed
Kelly provides a 50/50 co-op allowance up to $250 in any calendar year without the need for prior approval. ($500 combined contribution.)
Price: $0.00