Dinner on DISH 2017 Reimbursement

DINNER ON DISH(1)
Dinner on DISH 2017 Reimbursement
Complete this online form to get reimbursed for the Dinner on DISH promotion. Form must be completed by no later than Friday December 8th, and must be filled out in it's entirety. This includes requested on-site display photos and gift card invoices.

Retailer Information

Please upload a photo of your display on-site at the event. Both photos should be from different angles.
Please upload a photo of your display on-site at the event. Both photos should be from different angles.
Please upload a list each account number sold that qualified for the $100 gift card.
Please upload your grocery partner gift card receipt.

Charity Partner Donation Information

Please provide an update on the quantity of donations received for your partner charity. Please be as detailed as possible.