Please note: If you are unable to print from your mobile device, you should complete and print this form from your computer.
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I understand that by clicking the ‘create rebate form’ button to redeem the rebate, I am agreeing to receive communications about companion animal products from Elanco. I understand that the information I am providing may be used by Eli Lilly and Company (Elanco) and its business partners to provide me with information about special offers, parasite protection and other animal health conditions and products, and to contact me to see if I'd like to participate in product research activities, and to learn about and develop products and services concerning parasite protection. By submitting this form, I indicate my consent to these uses. I understand that I may request to be removed from this list by writing to Elanco at the following address: Elanco, P.O. Box 29310, Shawnee Mission, KS 66201.
Offer may only be redeemed by the pet owner. Must be 18 years or older to redeem. Please fill in all fields to receive the rebate. No photocopies accepted. Limit one 12-month or two 6-month rebates per pet. Purchases for multiple pets cannot be combined to meet minimum required purchase. Offer cannot be combined with any other offer. Valid for purchases made between 01/01/2014 and 10/31/2014. Rebate must be received within 60 days of veterinarian invoice date. Rebate request must be postmarked on or before 12/31/2014. Original invoice with purchase price and box code(s) must be included. Original invoice must show a 6-dose or 12-dose purchase. Purchase must be made from a licensed veterinarian in the U.S.A. Purchases from an online pharmacy not associated with your veterinarian's clinic are not valid. Elanco reserves the right to decline submissions for purchases from unauthorized distributors. Void where prohibited by law. Rebate check expires 120 days after date of issue. Please allow 10-12 weeks for check delivery. For questions regarding rebate submission, please call 1-800-983-9993.