Pre-Approved MDF Training/Event
Order Form
Please complete this form in full to ensure that your order is filled.
Bill to:
Company Name: _____________________________
Contact Person: ______________________________
Address: ____________________________________
City: ________________________________________
State/Province: _______________________________
Zip/PC: _____________________________________
Phone: ______________________________________
© 2019 Lutron Electronics Co., Inc. P/N 368-5140 REV A
Lutron reserves the right to change or modify the promotional items due to unavailability or a change in manufacturer’s model numbers.
Substitute products will be of equal or greater value as the items depicted.
MDF Account # (Where funds are to be deducted from):
PO#:
m Qty $15,000 Order (Promo Code 19MDF-TGU)
Grill will be drop shipped to your account.
m Qty $7,500 Order (Promo Code 19MDF-TGG)
Grill will be drop shipped to your account.
m Qty $4,500 Order (Promo Code 19MDF-TGYC)
m Qty $3,000 Order (Promo Code 19MDF-TGCHB)
m Qty $1,500 Order (Promo Code 19MDF-TGT)
m “Free Form” Promotion (No Promo Code)
m If different than bill to
Company Name: _____________________________
Contact Person: ______________________________
Address: ____________________________________
City: ________________________________________
State/Province: _______________________________
Zip/PC: _____________________________________
Phone: ______________________________________
Ship to: m same as billing address
Date of Event: Description:
Lutron will still allow “free-form” MDF promotions
if you’re using your funds for true sales growth
opportunities. You must submit the MDF claim
form in advance for pre-authorization.
*If your rep agency contact fails to submit the MDF claim form in advance for
pre-authorization, you may be removed from the program or the cost will be
split between you and the agency.
LUTRON
ADVANTAGE
PROGRAM
Submit completed claim form(s) and email to advantageprogram@lutron.com with “MDF Tailgate” in
subject line.
In order to receive credit and avoid billing charges, proof is required that you held your event and the contact
information of the licensed electrical contractors who attended the event must be recorded in the myBusiness
portal, within the following 14 days. Proof includes receipts, invoices, and photos. Please see MDF Proof
of Performance Form for submitting this information.
Remember: You must use half of your 2019 MDF by June 30 and the remaining portion must be used
by December 31 or it will be forfeited.