MWI Program Submission Form
Manufacturer Name:
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Agency Name:
If Applicable
Contact Name:
*
Contact E-mail:
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Contact Phone No:
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I would like to submit a customer promotion.
Please indicate target audience(s)
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Companion Animal Vet
Livestock Vet
Equine Vet
Cattle Producer
Swine Integrator
Poultry Integrator
Other/Targeted
Other/Targeted Explanation
*
Other/Targeted List Upload
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Promotion file upload
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I would like to submit a spiff program.
Spiff file upload
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By checking the box below, Manufacturer represents and warrants that all materials and terms included with this submission, including all marketing or promotional materials, language, and terms of any promotion or offer submitted, are (a) accurate, truthful and not false or misleading; (b) supported by appropriate scientific and/or medical research; (c) fairly balanced in its discussion of risks and benefits of products or services; (d) consistent with and supported by FDA approved prescribing information or instructions for use, as applicable; (e) in compliance with all applicable FDA regulations pertaining to the promotion of the products or services and with all other applicable federal, state, local, foreign and other laws, rules and regulations; and (f) subject to a reasonable expiration date. Manufacturer will defend, indemnify, and hold harmless MWI Veterinary Supply Co., its affiliates and subsidiaries, and their officers, directors and employees, from and against all damages, losses, costs, expenses (including reasonable attorney’s fees and court costs), claims, judgments and liabilities arising as a result of any breach of the foregoing and any other claim related to the submitted materials, terms, promotions, or offers. Additionally, you represent and warrant that you have the authority to bind Manufacturer to each and all of the foregoing.
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