Distributor Information:
Please include all of your customer numbers to receive Points directly from participating distributors. Be sure to enter the correct customer number for each Distributor to ensure that you receive proper credit for your purchases.
1. Select your Distributor from the drop-down list below and add your Customer Number for that Distributor and (if applicable) click “ADD ANOTHER DISTRIBUTOR”.
2. If you have multiple Customer Numbers with a single Distributor, or purchase from multiple Distributors, repeat this process as often as is applicable
Distributor Name:*