Get $10 per case, up to $200. October 1, 2013 through March 31, 2014 BENT ARM ALE® Products SKU 10071179 NEW BENT ARM ALE 5/16" Straight Cut 027850 q NEW BENT ARM ALE Entrée 027867 q NEW BENT ARM ALE Lattice Cut 027874 q NEW BENT ARM ALE SIDEWINDERS™ 029182 q NEW BENT ARM ALE 3/8" Onion Ring 029328 q NEW BENT ARM ALE 5/8" Onion Ring 029342 Conquest® Products SKU 10071179 q NEW Conquest Julienne Cut 3/16", Skin-Off 027621 q Conquest 1/4" Shoestring, Skin-Off 479987 q Conquest 5/16", Skin-Off 030133 q NEW Conquest 5/16" Crinkle Cut, Skin-Off 027638 q Conquest 3/8", Skin-Off 471080 q NEW Conquest Loops, Skin-Off 027904 q NEW Conquest 1/4" Shoestring, Skin-On 027744 q NEW Conquest 5/16", Skin-On 029564 q Conquest 5/16" x 3/8", Skin-On 474005 q Conquest 3/8", Skin-On 030140 q NEW Conquest Lattice, Skin-On 029496 RoastWorks® Products SKU 10071179 q NEW Roasted Sweetlings Cases Purchased Cases Purchased 024521 Total Cases Purchased x $10 = (Max 20) Total Rebate Due (Max $200) Mail Rebate to: Please check the category that best describes your operation: q Quick Service q Casual/Theme q Family Style/Midscale q Fine Dining q Supermarket Foodservice/Deli q C-Store Foodservice q Lodging q Business & Industry Other__________________ Cases Purchased q Colleges/Universities q Hospitals q Nursing Homes q Vending q Military q Recreation/Leisure q Airlines q Name:______________________________________ Title: _____________________ Operation Name:_______________________________________________________ Mailing Address:_____________________________________________________ Physical Address:_____________________________________________________ City:__________________________ State:___________ Zip:___________________ Phone: ( )_________________ Fax: ( )_________________________ Email Address:_______________________________________________________ To Get Rebate Completely fill out this form (incomplete coupons will not be accepted). Attach your distributor invoice with the eligible product(s) circled as proof-of-purchase between October 1, 2013 and March 31, 2014. Complete the information below and mail the entire certificate along with proof-of-purchase to: Primary Distributor:______________________________________________________ SIDEWINDERS is a trademark of the J.R. Simplot Company. BENT ARM ALE is a registered trademark of the J.R. Simplot Company. Simplot New Product Offer P.O. Box 2030 Brownsdale, MN 55918-2030 Broker:_______________________________________________________________ By providing an email address, operator gives permission for us to send product and program information via email. Rebate Rules Rebate is good for a maximum of $200 (up to 20 cases) on Simplot products listed above. Distributor invoice(s) must accompany rebate request. Coupon valid on case purchases between 10/1/13 and 3/31/14. Postmarked no later than 4/30/14. May not be combined with any other Simplot offer. One rebate will be refunded per operation or location. Offer does not apply to bid, contracted or national restaurant chains/QSR accounts but does apply to contracted non-commercial accounts and K-12 schools/districts not on bid. All information must be complete for rebate to be processed. Not responsible for lost, late, damaged, misdirected or postage-due mail. Please allow 4-6 weeks for processing. Simplot reserves the right to cancel this offer at any time. www.simplotfoods.com1.800.572.7783 ©2014 Simplot 03141775018618-14 CPN-458
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