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3 great brands for your dog
NATURAL CHOICE® Dog Food
Purposeful ingredients for health
MAX® Dog Food
FEED THE GOOD STUFF™
ULTRA™ Dog Food
Our holistic superfood blend
Cat Food
Healthy food your cat wants
NATURAL CHOICE® Cat Food
The ideal nutrient balance
MAX® CAT Food
Premium nutrition, great taste
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Breeder Enrollment Form
Cat and Dog Breeder Enrollment
Enroll in our Breeder Program today – to start, please provide us a copy of an official document that identifies you as breeder or handler.
†
Please also fill out the form below to complete your enrollment.
*
Required
Select Document
*
Offer Code (if provided)
CONTACT INFORMATION
Select Title: Mr. Ms. Mrs.
*
Ms
Mr
Mrs
First Name
*
Last Name
*
Business Name
*
Address
*
City
*
State/Province
*
-- Select --
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
----CANADA----
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Nova Scotia
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Zip Code/Postal Code
*
Country
*
--Select--
USA
Canada
Phone (this will be used as your breeder ID#)
E-mail
*
LITTER INFORMATION
Breeder type
--Select--
Dog
Cat Breeder
Cat Handler
Average number of dog litters per year
--Select--
0
1-2
3-5
6-9
10+
Average number of dogs per litter
--Select--
1
2-4
5-9
10+
Average number of cat litters per year
--Select--
0
1-2
6-9
10+
Average number of cats per litter
--Select--
1
2-4
5-9
10+
PURCHASING PREFERENCES
Where did you most frequently buy pet food over the last 6 months?
-- Select --
PetSmart
Petco
Other Pet Store
Vet / Breeder
Hardware and Farm
Grocery / Super Market
Discount Store (Wal-Mart, Costco, etc.)
Other
What products have you purchased over the last 6 months? (Select all that apply)
Dry Food
Pouches
Dental Chews
Canned Food
Treats / Biscuits
Pill Pockets
Choose the brand(s) you purchased for your dogs over the last 6 months. (Select up to four)
NUTRO® NATURAL CHOICE®
Cesar
Kirkland Signature
Purina
NUTRO® MAX®
Diamond
Mighty Dog
Purina Pro Plan
NUTRO® ULTRA™
Eukanuba
Natural Balance
Purina One
Alpo
Goodlife Recipe
Nature's Best
Purina Chow
Authority
Hill's PD
Nature's Recipe
Purina Veterinary
Beneful
Hill's Science Diet
Newman's Own
Royal Canin
Blue Buffalo
Iams
Ol Roy
Wellness
California Natural
Kibbles'n Bits
Pedigree
Other
Canidae
Choose the brand(s) you purchased for your cats over the last 6 months. (Select up to four)
NUTRO® NATURAL CHOICE® Complete Care
Friskies
Pro Plan
NUTRO® MAX® Cat
Hill's Science Diet
Purina One
Blue Spa Select
Iams
Purina Chow
Blue Wilderness
Meow Mix
Royal Canin
Cat Chow
Natural Balance
Wellness
Eukanuba
Nine (9) Lives
Other
Fancy Feast
Which brands have you bought most often for your dog over the past 6 months?(Select only one)
-- Select --
NUTRO® NATURAL CHOICE®
NUTRO® MAX®
NUTRO® ULTRA™
Alpo
Authority
Beneful
Blue Buffalo
California Natural
Canidae
Cesar
Diamond
Eukanuba
Goodlife Recipe
Hill's PD
Hill's Science Diet
Iams
Kibbles'n Bits
Kirkland Signature
Mighty Dog
Natural Balance
Nature's Best
Nature's Recipe
Newman's Own
Ol Roy
Pedigree
Purina
Purina Pro Plan
Purina One
Purina Chow
Purina Veterinary
Royal Canin
Wellness
Other
Which brands have you bought most often for your cat over the past 6 months?(Select only one)
-- Select --
NUTRO® NATURAL CHOICE® Complete Care
NUTRO® MAX® Cat
Blue Spa Select
Blue Wilderness
Cat Chow
Eukanuba
Fancy Feast
Friskies
Hill's Science Diet
Iams
Meow Mix
Natural Balance
Nine (9) Lives
Pro Plan
Purina One
Purina Chow
Royal Canin
Wellness
Other
What size bag did you purchase most often for your dog(s) over the last 6 months?
-- Select --
Small (5lbs)
Medium (20lbs)
Large (40lbs)
What size bag did you purchase most often for your cat(s) over the last 6 months?
-- Select --
Small (3.5lbs)
Medium (7lbs)
Large (17.5lbs)
How many bags of MAX®, NATURAL CHOICE® or ULTRA™ food for dogs have you purchased over the last 6 months?
-- Select --
0
1
2
3
4
5
6
7
8
9
10+
How many total bags of dog food have you purchased over the last 6 months?
-- Select --
0
1
2
3
4
5
6
7
8
9
10+
How many bags of MAX® CAT or NATURAL CHOICE® Cat food have you purchased over the last 6 months?
-- Select --
0
1
2
3
4
5
6
7
8
9
10+
How many total bags of cat food have you purchased over the last 6 months?
-- Select --
0
1
2
3
4
5
6
7
8
9
10+
PET HEALTH
How often do you brush your dog's or cat's teeth?
-- Select --
Never
Yearly
Monthly
Weekly
Daily
Do you have dogs or cats that take medications?
-- Select --
Yes
No
Is your dog prone to joint health issues?
-- Select --
Yes
No
Does your pet have food sensitivities?
-- Select --
Yes
No
BREEDER CREDENTIALS
How many starter kits would you like to request?
*
-Select-
0
1
2
3
4
5
6
7
8
9
Date of Litter Birth
*
--
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
--
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
--
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
Which food would you like to feed your pets?
*
--Select--
NATURAL CHOICE® Puppy
NATURAL CHOICE® Large Breed Puppy
MAX® Puppy
MAX® Large Breed Puppy
ULTRA™ Puppy
ULTRA™ Large Breed Puppy
MAX® CAT Kitten
Natural Choice Complete Care Kitten
OPT-IN
I agree to feed and recommend MAX®, ULTRA™, or NATURAL CHOICE® cat food and dog food, treat all animals humanely, and understand that breaking these and any other The Nutro Company Breeder Program policies is cause for The Nutro Company to terminate my membership.
Yes, I would like to receive special offers, samples and information about NUTRO® and other brands in our family. I understand that you will protect my privacy and will not provide or sell my information to other organizations. I may unsubscribe (opt out) at any time.
†
To qualify for our program you need to upload a copy of an official document that identifies you as a breeder or handler. The document should be from a nationally recognized dog registry or association (eg. AKC, UKC, ARBA, etc.)
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