www.boehringeringelheimpetrebates.com Open in urlscan Pro
107.154.79.153  Public Scan

Form analysis
1 forms found in the DOM

Name: parentCustomForm —

<form name="parentCustomForm" class="ng-pristine ng-scope ng-invalid ng-invalid-required ng-valid-date">
  <div pccustomform="" customfields="accordion" class="ng-isolate-scope"><ng-form name="customForm" novalidate="" class="ng-pristine ng-invalid ng-invalid-required ng-valid-date"><!-- ngRepeat: field in fields -->
      <div class="form-group ng-scope" ng-repeat="field in fields">
        <div class="input-group dynamic-fields">
          <p class="noMargin ng-hide inactiveFieldLabel" ng-show="customForm[field.fieldName].$viewValue || customForm[field.fieldName].focused" ng-class="(customForm[field.fieldName].focused) ? 'activeFieldLabel' : 'inactiveFieldLabel'"><span
              translate="content.FD_HOME_CUSTOMSEARCH_0_CAMPAIGNCODE" class="ng-scope">Offer Code (XX-XXXXX)*</span></p><!-- ngIf: (field.type | uppercase) === 'SELECT' --><!-- ngIf: (field.type | uppercase) === 'TEXT' --><input
            ng-if="(field.type | uppercase) === 'TEXT'" border-color="" aria-label="customForm[field.fieldName]" tabindex="0" ng-focus="customForm[field.fieldName].focused = true" ng-blur="customForm[field.fieldName].focused = false"
            name="CampaignCode" class="noBorderTextBox ng-pristine ng-untouched ng-scope ng-invalid ng-invalid-required" type="text" placeholder="Offer Code (XX-XXXXX)*" ng-model="field.value" ng-required="true"
            pc-field="home-customSearch-CampaignCode" link="" pc-field-type="Text" required="required"><!-- end ngIf: (field.type | uppercase) === 'TEXT' --> <!-- ngIf: (field.type | uppercase) === 'DATE' -->
          <!-- ngIf: (field.type | uppercase) === 'DATE' --> <!-- ngIf: (field.type | uppercase) === 'DATE' --> <!-- ngIf: field.tinyMce_Text && !(field.MODAL) --><span class="input-group-btn ng-scope"
            ng-if="field.tinyMce_Text &amp;&amp; !(field.MODAL)"><button type="button" class="btn form-icon" uib-tooltip-html="field.tinyMce_Text" tooltip-class="CampaignCode"
              aria-label="Tooltip"><i class="fa fa-question-circle" aria-hidden="true"></i></button></span><!-- end ngIf: field.tinyMce_Text && !(field.MODAL) --> <!-- ngIf: field.MODAL && field.tinyMce_Text -->
        </div>
      </div><!-- end ngRepeat: field in fields -->
      <div class="form-group ng-scope" ng-repeat="field in fields">
        <div class="input-group dynamic-fields">
          <p class="noMargin ng-hide inactiveFieldLabel" ng-show="customForm[field.fieldName].$viewValue || customForm[field.fieldName].focused" ng-class="(customForm[field.fieldName].focused) ? 'activeFieldLabel' : 'inactiveFieldLabel'"><span
              translate="content.FD_HOME_CUSTOMSEARCH_0_PURCHASEDATE" class="ng-scope">Purchase Date</span></p><!-- ngIf: (field.type | uppercase) === 'SELECT' --><!-- ngIf: (field.type | uppercase) === 'TEXT' -->
          <!-- ngIf: (field.type | uppercase) === 'DATE' --><input ng-if="(field.type | uppercase) === 'DATE'" id="home-PurchaseDate-text" border-color="" tabindex="0" ng-focus="customForm[field.fieldName].focused = true"
            ng-blur="customFormCtrl.dateTextChange(field.fieldName, true ,this, false)" name="PurchaseDate" class="noBorderTextBox ng-pristine ng-untouched ng-scope ng-invalid ng-invalid-required" type="text" placeholder="Purchase Date"
            ng-model="field.value" is-open="customFormCtrl.dates[field.fieldName]" ng-change="customFormCtrl.dateTextChange(field.fieldName, false ,this, true)" close-text="Close" pc-field="home-customSearch-PurchaseDate" link="" pc-field-type="Date"
            ng-required="true" required="required"><!-- end ngIf: (field.type | uppercase) === 'DATE' --> <!-- ngIf: (field.type | uppercase) === 'DATE' --><input ng-if="(field.type | uppercase) === 'DATE'" id="PurchaseDate-date" tabindex="0"
            name="PurchaseDate1" class="hidden-date-input ng-pristine ng-untouched ng-scope ng-isolate-scope ng-invalid ng-invalid-required ng-valid-date" type="text" uib-datepicker-popup="MM/dd/yyyy" datepicker-options="dateOptions"
            ng-model="field.valueTemp" is-open="customFormCtrl.dates[field.fieldName]" ng-change="customFormCtrl.dateChange(field.fieldName,this)" close-text="Close" ng-required="true" required="required">
          <div uib-datepicker-popup-wrap="" ng-model="date" ng-change="dateSelection(date)" template-url="uib/template/datepickerPopup/popup.html" class="ng-valid">
            <!-- ngIf: isOpen -->
          </div><!-- end ngIf: (field.type | uppercase) === 'DATE' --> <!-- ngIf: (field.type | uppercase) === 'DATE' --><span class="input-group-btn ng-scope" ng-if="(field.type | uppercase) === 'DATE'"><button id="PurchaseDate-searchDate"
              type="button" class="btn form-icon" ng-click="customFormCtrl.toggleDate(field.fieldName)" aria-label="Date Selector" title="Date selector"
              alt="calendar"><i class="fa fa-calendar" aria-hidden="true"></i></button></span><!-- end ngIf: (field.type | uppercase) === 'DATE' --> <!-- ngIf: field.tinyMce_Text && !(field.MODAL) --> <!-- ngIf: field.MODAL && field.tinyMce_Text -->
        </div>
      </div><!-- end ngRepeat: field in fields -->
      <div class="form-group ng-scope" ng-repeat="field in fields">
        <div class="input-group dynamic-fields">
          <p class="noMargin ng-hide inactiveFieldLabel" ng-show="customForm[field.fieldName].$viewValue || customForm[field.fieldName].focused" ng-class="(customForm[field.fieldName].focused) ? 'activeFieldLabel' : 'inactiveFieldLabel'"><span
              translate="content.FD_HOME_CUSTOMSEARCH_0_EMAIL" class="ng-scope">Email Address</span></p><!-- ngIf: (field.type | uppercase) === 'SELECT' --><!-- ngIf: (field.type | uppercase) === 'TEXT' --><input
            ng-if="(field.type | uppercase) === 'TEXT'" border-color="" aria-label="customForm[field.fieldName]" tabindex="0" ng-focus="customForm[field.fieldName].focused = true" ng-blur="customForm[field.fieldName].focused = false" name="Email"
            class="noBorderTextBox ng-pristine ng-untouched ng-scope ng-invalid ng-invalid-required" type="text" placeholder="Email Address" ng-model="field.value" ng-required="true" pc-field="home-customSearch-Email" link="" pc-field-type="Text"
            required="required"><!-- end ngIf: (field.type | uppercase) === 'TEXT' --> <!-- ngIf: (field.type | uppercase) === 'DATE' --> <!-- ngIf: (field.type | uppercase) === 'DATE' --> <!-- ngIf: (field.type | uppercase) === 'DATE' -->
          <!-- ngIf: field.tinyMce_Text && !(field.MODAL) --> <!-- ngIf: field.MODAL && field.tinyMce_Text -->
        </div>
      </div><!-- end ngRepeat: field in fields -->
      <div class="form-group ng-scope" ng-repeat="field in fields">
        <div class="input-group dynamic-fields">
          <p class="noMargin ng-hide inactiveFieldLabel" ng-show="customForm[field.fieldName].$viewValue || customForm[field.fieldName].focused" ng-class="(customForm[field.fieldName].focused) ? 'activeFieldLabel' : 'inactiveFieldLabel'"><span
              translate="content.FD_HOME_CUSTOMSEARCH_0_ZIPCODE" class="ng-scope">Zipcode</span></p><!-- ngIf: (field.type | uppercase) === 'SELECT' --><!-- ngIf: (field.type | uppercase) === 'TEXT' --><input
            ng-if="(field.type | uppercase) === 'TEXT'" border-color="" aria-label="customForm[field.fieldName]" tabindex="0" ng-focus="customForm[field.fieldName].focused = true" ng-blur="customForm[field.fieldName].focused = false" name="Zipcode"
            class="noBorderTextBox ng-pristine ng-untouched ng-scope ng-invalid ng-invalid-required" type="text" placeholder="Zipcode" ng-model="field.value" ng-required="true" pc-field="home-customSearch-Zipcode" link="" pc-field-type="Text"
            required="required"><!-- end ngIf: (field.type | uppercase) === 'TEXT' --> <!-- ngIf: (field.type | uppercase) === 'DATE' --> <!-- ngIf: (field.type | uppercase) === 'DATE' --> <!-- ngIf: (field.type | uppercase) === 'DATE' -->
          <!-- ngIf: field.tinyMce_Text && !(field.MODAL) --> <!-- ngIf: field.MODAL && field.tinyMce_Text -->
        </div>
      </div><!-- end ngRepeat: field in fields -->
    </ng-form></div>
  <div class="row"><!-- ngIf: validationErrors --></div>
  <div class="row"><!-- ngIf: homeCtrl.isBackButtonEnabled -->
    <div class="col-md-6 col-sm-6 col-xs-6 pull-right"><button id="home-customSearch-0-continue" aria-label="Continue" class="btn btn-primary ng-binding" ng-click="homeCtrl.continue()" ng-disabled="parentCustomForm.customForm.$invalid"
        disabled="disabled">Continue <span class="fa fa-chevron-right" aria-hidden="true"></span></button></div>
  </div>
</form>

Text Content

Toggle navigation



--------------------------------------------------------------------------------

   
 * Submit
   
 * Current Offers
   
 * Track
   
 * FAQ
   
 * Contact Us
   
 * My Card Account
   



WELCOME TO THE BOEHRINGER INGELHEIM ANIMAL HEALTH USA INC. REBATE CENTER


SUBMIT YOUR REBATE ONLINE IN JUST A FEW STEPS. YOU WILL NEED A PHOTO OR SCAN OF
YOUR RECEIPT TO COMPLETE THE PROCESS.

Offer Code (XX-XXXXX)*

Purchase Date



Email Address

Zipcode


Continue




 


IT’S AN EASY 3-STEP PROCESS.

 


STEP 1:

Visit your veterinarian and purchase one or more eligible products.


STEP 2:

Enter your offer code and purchase date, upload your receipt, review, submit.


STEP 3:

After your proof of purchase and eligibility is verified, a Mastercard® prepaid
card will be mailed to you. 

 

 

 

 




ALLOW COOKIES AND RELATED TECHNOLOGIES

This site uses third party cookies and related technologies to achieve various
functions. Click Required Cookies to allow a limited set of cookies (and related
technologies) or All Cookies to allow the full set of cookies (and related
technologies) to interact with your device. Choose Manage Settings for more
options and information.

Required Cookies All Cookies
Manage Settings
Cookie Preferences
   

 * Privacy Policy

   

 * Terms & Conditions

   
   


   

 *  
   
    
   
   HEARTGARD®, the Dog & Hand logo®, ORAVET® and PREVICOX® are registered
   trademarks of Boehringer Ingelheim Animal Health USA Inc. FRONTLINE®,
   NexGard®, and CENTRAGARD® are registered trademarks of the Boehringer
   Ingelheim Group. METACAM® and VETMEDIN® are registered trademarks of
   Boehringer Ingelheim Vetmedica GmbH, used under license. All other trademarks
   are the property of their respective owner. ©2022 Boehringer Ingelheim Animal
   Health USA Inc., Duluth, GA. All rights reserved. US-PET-0823-2021 V2