2022 Cenex® Ad Share Program

Site Image & Maintenance Claim Form

If you would prefer to download the claim form to submit via email or mail, please click here.

Please fill out all fields unless marked optional

You must click the checkbox to acknowledge that you agree.

The CHS fiscal year runs from September 1 through August 31. Site Image & Maintenance Ad Share claims must include invoices dated on or before August 31, 2022. The deadline for submitting claims is September 30, 2022.

Reimbursement rates vary. Please reference pages 13-15 in the Cenex® Retail Marketing and Operations Guide for more information.

Item Being Claimed

Required Documentation

Claimed Amount

Main ID (MID)

(Electronic message board, Installation fees for bulbs and repairs, LED panels, Main ID sign/high-rise sign – new and replacements, Product panel, Replacement LED numbers and bulbs, Sign face panel/branded product panel, Sign poles)

Paid invoice and photo of completed project

Building/Parking Lot

(Asphalt/concrete repairs, Cigarette disposal containers, Curb repair, Parking bollards, Power-wash service, Restriping)

Paid invoice and photo of completed project

Fueling Island/Forecourt

(CHS approved trash cans/recycling, Concrete repairs, Curbs, Fueling island bollards, Island form/column, Power-wash service, Windshield service centers)

Paid invoice and photo of completed project


(Canopy columns, Canopy fascia and replacement sections, Canopy LED down lighting, Cenex logo, Clearance and product decals, Column flag signs, Replacement lens covers, bulbs and ballasts, Under decking cleaning/maintenance, Underdecking paint)

Paid invoice and photo of completed project


(Bezel locks, Dispenser door skin replacement/decal replacement, Dispenser refacing, Dispenser riser panels, Nozzle covers and splash guards, Pump decals, Pump toppers and frames, Security stickers, Valance)

Paid invoice and photo of completed project

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