Market Development Funds (MDF)
Claim Form
Request Summary
Date Description Cost
Please complete in full for reimbursement.
Company: ____________________________________
Account #: ___________________________________
Contact Person: ______________________________
Phone/Fax: ___________________________________
Address: _____________________________________
City: _________________________________________
State/Province: _______________________________
Zip/PC: ______________________________________
Agency:______________________________________
Sales Contact:
________________________________
Total expenditure:
Less amount prorated to
other manufacturers:
Reimbursement due:
In order to receive credit, you must include
all relevant supporting documentation
and/or approvals. This includes receipts,
invoices, pictures, brochures, and flyers.
If you have any questions, please
contact Lutron.
© 2017 Lutron Electronics Co., Inc. P/N 368-4902 REV A
Submit completed form to
MDFclaims@lutron.com.
Request for:
m Advertising m Showroom Demo
m
BDF (Resi Only) m Trade Shows
m
Demos/Displays m Training
m
Events m Travel to Lutron Training (50%)
m
Premium Items (50%) m Website Advertising
m Promotion
Other:
____________________________________________
