Hunting Retriever Club, Inc.

Purina® Hunt Support
On-line Request Form

PURINA ORDER DUE DATES
The order must be received by the due date in order to be filled.
Purina is no longer able to fill orders after the due date.
Orders for hunt tests held in January and February are ordered at the end of the year prior to the hunt tests.
January and February hunt test dates are at the bottom of the list.

THE HUNT MUST BE LISTED ON THE CONFIRMED EVENTS CALENDAR IN ORDER FOR IT TO BE PROCESSED.

Click here to confirm your listing on the calendar.

As Exclusive Dog Food Sponsor of HRC, Inc., Purina will provide items for your HRC Hunt Tests.
Purina supplies products for one day of back to back hunt tests.

You must complete the form below to request product for your hunt test.
Fill in the form completely then click on the "Submit" button to send the order.
Once your order has been submitted, you will see a pop-up that says "Thank you for your submission"
The system is NOT currently seding email confirmation so don't be concerned if you don't receive one.
You will receive a delivery date 2-3 weeks after the due date for the order.

Your club representative who is submitting this form must complete the "Submitted by:" boxes at the bottom of this form before your order will be processed.

For additional information, please contact:

Tammy Cobb - HRC Administrative Coordinator
Phone: (269) 364-2054
Email: Admin@H-R-C.org

All ship to addresses must be verified with www.usps.com
Please verify and give the complete Zip code including Zip Plus (Example: 61550-2716)

Two contact phone numbers are required.
If the delivery company is not able to confirm delivery they will not attempt delivery.
If shipping to a residence someone must be at home. You must unload the product from the truck or the lift gate services charges will be the responsibility of the club/person accepting the shipment.

All Fields that are marked with * and bold are required:

Information for Person/Company RECEIVING this shipment (NO P.O. Boxes)

*Person recieving Shipment
Business Name Accepting
*Street Address
Address (cont.)
*City
*State
*Nine Digit Zip+4 ZipCode
+4 ZipCode
*Contact Phone 1
*Contact Phone 2
E-Mail address

*Enter the date of the first day of the event (00/00/00)

*Total the number of entries (1 day only), number of Judges, and number on the Hunt Committee:

*HRC Club Name

Submitted by:

Today's Date 00/00/00
Name
Title
*E-Mail
Phone
HRC Membership Number

Please make sure all the information is complete and accurate.

Enter the code and then click "Submit Form"
If your order was completed you will receive a message "Thank you for your submission".

Enter web form code

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