submit your claim or turn in order forms

Buy Unilever Food
Solutions products
and be rewarded.
Cycle 3 Dates:
2nd May – 30th June 2016
Purchase a minimum of $100 of NEW Unilever products
within 1 transaction and get rewarded!
AND
RECEIVE
A $20
Coles/Myer
Gift Card.
For every additional
$100 you spend, receive
another $20 Gift Card.*
*Conditions apply. Amount is exclusive of GST. Claims
must be received by 15/07/2016. Gift card only valid for 1st
purchase of new products within stated time period.
For more information
visit ufs.com
www.ufs.com
How to Participate
Complete the relevant section below and send to:
Fax
1800 008 405
Scan & Email
[email protected]
Mail
Unilever Rewards
PO Box 6511
Baulkham Hills, NSW 2153
CLAIM FORM
Please send completed claim form with a copy of your invoices when submitting your claim. Claims must be received by 5pm on
30/06/2016 unless specified otherwise.
Position:
Proprietor
Chef
Other: _____________________________________________________________________________________________
(please print)
Establishment:
Pub
Club
Restaurant/Café
Healthcare
Caterer
Hotel
Other: __________________________________________
(please print)
Unilever Food Solutions Representative: _______________________________________________________________________________________________
First Name: ______________________________________ Surname: ________________________________________________________________________
Business Name: ____________________________________________________________________________________________________________________
Delivery Address: ___________________________________________________________________________________________________________________
Suburb: _______________________________________________________________________ State:
Postcode:
Email: _______________________________________________________________
Business Phone:
Number of Invoices Attached: _______ Number of Pages Attached: _______
I confirm that I am an authorised representative of the business for which I purchase these products and I am authorised to direct that the
rewards and gift card/s be issued to:
Name of Business, Individual or Club: __________________________________ Signature: ______________________________________________
(please print)
OR
TURN IN ORDER FORM*
Please complete this section only when placing a turn in order with a Unilever Food Solutions Representative. Orders must be placed
before 5pm on 30/06/2016.
Unilever Food Solutions Representative: _____________________________________________________________________________________________
Distributor Branch: _____________________________________________________________________ Account Number: ________________________
UFS Product Code
Product Description
Qty
Total
________________________ ___________________________________________________________ __________ ______________________
________________________ ___________________________________________________________ __________ ______________________
________________________ ___________________________________________________________ __________ ______________________
________________________ ___________________________________________________________ __________ ______________________
________________________ ___________________________________________________________ __________ ______________________
________________________ ___________________________________________________________ __________ ______________________
*Conditions apply see www.unileverfoodsolutions.com.au or www.unileverfoodsolutions.co.nz. Only open to eligible businesses in Australia or NZ. Opens 02/05/16 & ends 5pm AEDST
on 30/06/16. Each business can only submit 1 claim. Eligible businesses that submits a claim directly with a Unilever Food Solutions Representative must complete and return the top
section of the claim form when placing orders directly with the Unilever Food Solutions Representative. The promoter collects personal information (PI) in order to conduct the promotion,
and may use PI for future marketing activities. For further details on how to opt out, access, update or correct PI see http://www.unileverprivacypolicy.com/en_gb/policy.aspx