Use this online form to submit your rebate or print the form below. First/Last Name * Email Address * Click to Choose PayPal, Venmo Account or No Account * —Please choose an option—No AccountVenmoPayPal PayPal or Venmo Account Number (If Available) Phone Number Street Address City State Zip * [mathcaptcha mathcaptcha-238] Promo Code * (For sample rebate use code 01) Number of Pets (Please specify dog or cat) Comments Upload Proof of Rebate {Image of UPC with receipt or Image of Sample bag with receipt} Drag & Drop Files Here or Browse Files Disclaimer: Filling this out form gives Pureluxe access to Digitally send money you. If you do not have Venmo or PayPal Account you can choose to Mail-in information Please allow 4-6 weeks for mail-in submissions or 1 week for digital payments Limit 1 Sample Rebate per person Submit Online Form Above or Print, complete and email PDF form to info@pureluxepetfood.com with "Rebate" in the subject header: PDF Form