Record purchases of Traditional Favorites and Promoted Feature Brands below.

Please check the box below that indicates your purchase level:

I purchased in the Platinum Level with 250 cases of Traditional Favorites and 150 cases of Promoted Feature Brands. Please send my $500 in Big Break Rewards Cards (20 Bank Cards valued at $25 each).
I purchased in the Gold Level with 125 cases of Traditional Favorites and 75 cases of Promoted Feature Brands. Please send my $250 in Big Break Rewards Cards (10 Bank Cards valued at $25 each).
I purchased in the Silver Level with 25 cases of Traditional Favorites and 75 cases of Promoted Feature Brands. Please send my $100 in Big Break Rewards Cards (4 Bank Cards valued at $25 each).

Please complete the following:

Name:		Title:
College Name:
Address:
City:	State: AB AK AL AR AZ BC CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MB MD ME MI MN MO MS MT NB NC ND NE NH NJ NL NM NS NT NU NV NY OH OK ON OR PA PE QC RI SC SD SK TN TX UT VA VT WA WI WV WY YT	Zip:
Phone Number:		Fax Number:
Email Address:
Please include me in special e-mail offers from Kellogg's® Food Away From Home.
Where did you learn about this program?: Kellogg Sales RepDSRK-Mail Campus Star ClubTradeshowKFAFH Website  Other:
Kellogg Sales Representative:
Student Enrollment:
Contract Management Company:
Distributor:		City:

Ship To (if other than above):

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Mail this form with proof of purchase by 8/31/09 to: Kellogg's® Food Away From Home c/o Big Break Promotion P.O. Box 1007 Brownsdale, MN 55918-1007

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