PRIZE CLAIM FORM

Thank you for participating in the Nestlé Purina PetCare Dog Chow 100 Years
Sam's Club Activation Instant Win Promotion!

Please complete the form below to claim your prize.
For additional details please see the Official Rules.

ELIGIBLE PARTICIPANT INFORMATION

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Enter the 17-digit number located on your Sam's Club membership card.

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NO PURCHASE NECESSARY. Only open to Sam’s Club Members who are members by 6/30/26, 18+ (19 AL/NE; 21 PR). 50. U.S., DC & PR. Void where prohibited. Active membership required. Buy specially-marked Dog Chow® to look for a Golden Dog Chow Ticket or enter free at dc100year.com/AMOE from 7/1/26–12/31/27.
Sponsor: Nestlé Purina PetCare Company, St. Louis, MO 63164.