Phonak Marketing Support
Agreement Form

Business name*
Website address*
Full name*
Email address*
Contact number*
Campaign description
Phonak marketing support
Terms and conditions*
I agree to the terms and conditions
- Phonak Australia must pre-approve all planned costs and determine exact value of co-op support, prior to campaign proceeding.
- If design work is undertaken by the customer or customer’s vendor, Phonak Australia must approve all artwork prior to campaign execution.
- Customer is to pay for all external costs relating to the campaign (unless agreed in writing otherwise); then support to the agreed amount will be reimbursed by Phonak Australia to the customer’s Phonak account once receipts have been provided.
- Receipts must be provided by the vendor showing that the customer has paid the invoice; if this is not available, a highlighted statement showing the payment, is sufficient.
- Offer is valid for a set period; receipts must be provided prior to the date below.
Receipts to be submitted by
Offer validity date
MM slash DD slash YYYY
Phonak representative
Customer full name
Client signature*
Please sign in the box.
Phonak representative signature*
Please sign in the box.
Date of agreement
MM slash DD slash YYYY