$500 Here’s How To Get Your Savings: 1. 2. 3. 4. Purchase any qualifying product(s) from your Sysco distributor between March 1 and April 30, 2014. Complete the rebate form below and submit along with proof of purchase (Sysco invoices) to the address indicated. You will receive a rebate for the specified amount up to $500. Limit one rebate redemption per operator. Minimum amount $25. Your rebate check will arrive within 4-6 weeks of submission. With Sysco Brand Frozen Entrées Eligible SKUs: PRODUCT CODE MFG # 4849158 34730 09406 8156077 PRODUCT DESCRIPTION PACK SIZE REBATE AMOUNT MEATLOAF WITH TOMATO GLAZE 4/58 oz. $5.00 74865 51337 MEAT LASAGNA 4/96 oz. $5.00 8156945 74865 51338 VEGETABLE LASAGNA 4/96 oz. $5.00 8156960 74865 51340 CREAMED CHIPPED BEEF 4/76 oz. $5.00 8156978 74865 51341 STUFFED CABBAGE ROLLS IN TOMATO SAUCE (12 PER TRAY) 4/92 oz. $5.00 8156986 74865 51342 STUFFED GREEN PEPPERS IN TOMATO SAUCE (12 PER TRAY) 4/83 oz. $5.00 8156994 74865 51343 SALISBURY STEAK IN GRAVY (12 PER TRAY) 4/69 oz. $5.00 1343045 74865 56669 SWEDISH MEATBALLS IN BROWN GRAVY 4/62 oz. $5.00 2800977 74865 60251 ESCALLOPED APPLES 4/72 oz. $5.00 Block & Barrel 3718251 74865 64179 CHICKEN & DUMPLINGS 4/95 oz. $5.00 4389185 74865 69455 BEEF STEW 4/72 oz. $5.00 4390316 74865 69462 BROCCOLI & CHEESE CASSEROLE 4/88 oz. $3.00 4849800 34730 09407 MACARONI WITH MONTEREY JACK AND PEPPERS 4/76 oz. $3.00 3516242 74865 62729 MACARONI & CHEESE 4/76 oz. $3.00 Arrezzio 3517489 74865 62730 FOUR MEAT LASAGNA 4/96 oz. $5.00 3517760 74865 62736 TRADITIONAL LASAGNA WITH SAUSAGE, MOZZARELLA & RICOTTA 4/96 oz. $5.00 REBATE SPECIFICATIONS: Chains must participate on an individual outlet basis. This offer cannot be combined with other rebates, allowances or national account contracts. Offer invalid for resale, cash/carry and club stores. Cases redeemed against this offer may not be used to redeem against other Sysco Branded Product rebates or offers. Rebates cannot be assigned or transferred. Offer valid for foodservice operators only; suppliers or distributors cannot redeem rebates for operators. We reserve the right to audit requests for payment and reserve the right to cancel this offer at any time. This rebate may be mechanically reproduced or photocopied but not altered from its original format. All rebates must be postmarked by May 31, 2014. VOID IF RESTRICTED OR PROHIBITED BY LAW. Questions? Contact 800-357-6543. REBATE OFFER # of Cases Purchased ______________ x $3.00 = $ ____________________ # of Cases Purchased ______________ x $5.00 = $ ____________________ TOTAL REBATE = $ ____________________ (Maximum Rebate $500 - Minimum $25) Complete the requested information on this form and mail with a copy of your distributor invoice(s) to: Sysco Entrées Rebate P.O. Box 2025 – FS-2015W Brownsdale, MN 55918 800-357-6543 Must be postmarked by 5/31/14 PLEASE PRINT LEGIBLY Name of Establishment__________________________________________________________________________________ Your Name_____________________________________________________________________________________________ Street Address__________________________________________________________________________________________ City_______________________________________________ State____________________________ ZIP_________________ Business Phone ( )_________________________________ Fax ( )______________________________________ Email__________________________________________________________________________________________________ My foodservice operation can best be described as: q Casual Dining q Family Dining q QSR q Recreation/Entertainment q Convenience Store q Business Dining q College or University q Vending/OCS q q q q q q q Hospital Long-Term Care K-12 School Bar/Tavern Sandwich/Bakery Café Catering Other (specify) ____________________ Dayparts served (check all that apply): q Breakfast q Dinner q Lunch q Snacks/Takeout Number of Units:_______________ Seasonal Operation: q Yes q No Seasonal Period:__________ By providing an email address, operator gives permission for us to send product and program information via email. Primary Distributor__________________________________ Distributor Rep Name_________________________________ Primary Distributor City___________________________________________________________________________________ Brokerage___________________________________________ Broker Rep Name_____________________________________ ©Sysco Corporation All Rights Reserved. FS-2015W 2/14