Purina Handler Of The Year Participation Request

For Guidelines for the Purina Handler of the Year program - click here

Purina Participation Form

Date Submitted *

Name of NGSPA Championship *

Championship Start Date *

Championship End Date

Stakes Offered *

List all stake that you plan to run.

Would you like Purina logo hats, if available? *

Do you need a Purina Banner? *

Do you need a shipment of Purina Pro Plan to distribute for prizes? *

Ship product to this physical address (no PO Boxes) *

Contact Name *

Contact Phone Number *

Contact Email *

Championship Name (payee) *

Tax ID (EIN) # (or SS# with Name) *

Mail payment to (Number, Street, City, State, Zip or PO Box) *

Email address for confirmation *

Email address of person completing this form *

1 Under this program all American Field ads must contain the Purina logo, and this statement: “A Purina Handler of the Year Points Trial”

2. Submit your Championship Approval Form online to receive product.

3. Submit this Purina Form online.

4. Submit your Essential Data forms online to receive payment. You must complete a form for each stake.

5.Questions? Call Bobbi Richardson at:307-630-1514 (cell). Or, email Bobbi at: wybobbi@gmail.com

If you are human, leave this field blank.