Peernet Rebate Form - Inactive Peernet Rebate Form - Inactive Supplier Name * Your Name * Name of person to contact if we have questions * Please list what amounts are subtracted in Rebateable Volume: (ie. Freight, Large Qty Sales, etc) * Is Rebate Payment being sent by Check or Credit Memo? * Check Credit Memo Is Self Promo Allowance being sent by Credit Memo or is it held on account for each individual supplier? Credit Memo Held on Account/List 2015 Rebates and Self Promotional Allowances (You must enter a 0 if the answer is $0) Distributor Total 2015 Volume Total 2015 Rebateable Volume Difference in Total Volume and Rebateable Volume % Difference 2015 Rebate Amount Rebate as % of Rebateable Sales 2015 Self Promotion Allowance Self Promo as % of Rebateable Sales Explanation of Difference between Total and Rebateable Volume Axis Axis_2015_Volume * Axis_2015_Rebatable_Volume * Axis_2015_Volume_Difference Axis_2015_Percent_Difference Axis_2015_Rebate_Amount * Axis_2015_Rebate_as_Percent Axis_2015_SelfPromo_Amount * Axis_2015_SelfPromo_as_Percent Axis_Explanation * Bob Lilly Promo Bob_2015_Volume * Bob_2015_Rebatable_Volume * Bob_2015_Volume_Difference Bob_2015_Percent_Difference Bob_2015_Rebate_Amount * Bob_2015_Rebate_as_Percent Bob_2015_SelfPromo_Amount * Bob_2015_SelfPromo_as_Percent Bob_Explanation * BrandVia BrandVia_2015_Volume * BrandVia_2015_Rebatable_Volume * BrandVia_2015_Volume_Difference BrandVia_2015_Percent_Difference BrandVia_2015_Rebate_Amount * BrandVia_2015_Rebate_as_Percent BrandVia_2015_SelfPromo_Amount * BrandVia_2015_SelfPromo_as_Percent BrandVia_Explanation * Δ