Australian Gold®, LLC.
Salon Co-Op Advertising Claim Form
(11-1-06 to 10-31-07)
Use this form to submit claims for reimbursement for any funds spent to advertise your salon.
Salon Phone Number
Are you a Premier Salon?
(For information on the Premier Salon Program, refer to pgs. 6-7 of this manual, visit www.australiangold.com, or
contact your authorized AG distributor.)
Advertising Medium (please specify radio, print, postcards, TV, flyer, etc.)
Amount of Claim For Advertising $
All claims must adhere to all Australian Gold® Co-Op Guidelines (see pg. 24 for full list of co-op requirements).
Please read these requirements carefully, and include all necessary documentation to support your claims, as well
as an updated W-9 tax form if you have not already submitted one (you can download a W-9 form at
Salon Owner Signature
To ensure proper processing, please mail this completed form, as well as all required documentation,
including W-9 tax form, to:
Australian Gold, LLC
ATTN: Customer Service
6270 Corporate Drive
Indianapolis, IN 46278-2900
DEADLINE FOR CLAIMS SUBMISSIONS IS DECEMBER 31, 2007
Salon Co-op Advertising Requirements
The Co-op program is for Professional Indoor Tanning Salons. A salon can earn reimbursement for the exclusive
advertising of Australian Gold® and/or Swedish Beauty®. The amount of reimbursement is based on the salon’s
yearly purchases of Australian Gold® and/or Swedish Beauty® lotions and their advertising costs.
The categories and respective percentages are as follows:
• Australian Gold® lotion purchases earn a 4% advertising reimbursement
• Swedish Beauty® lotion purchases earn a 4% advertising reimbursement
• Australian Gold®, LLC. lamp purchases earn a 2% advertising reimbursement
• Volume Bonus will earn you a 3% advertising reimbursement for Australian Gold® and/or
Swedish Beauty® lotion purchases to