Get Hearing Aid Affiliate Program

The Hearing Aid Affiliate Program allows users to submit advertising requests for co-op reimbursement. This guide provides a clear, step-by-step process to help you successfully complete the online submission form.

Follow the steps to complete your submission effectively.

1. Press the ‘Get Form’ button to access the form and open it in your preferred editor.
2. Input your account information. Begin by filling in the account number and the account you wish to apply co-op funds to. Follow this with your practice name, contact name, contact phone number, contact fax, and email address.
3. In the co-op status information section, check the appropriate box for the traditional marketing program related to your membership status, ensuring to indicate if you are eligible for any reimbursements.
4. Provide details in the advertising information section. Select the media type used for advertising and fill in the publication or media name. Include the drop date or run dates, the quantity of direct mail or newspaper circulation, total advertising cost, and the requested amount for reimbursement.
5. Complete the submission form checklist. Ensure all required information is provided, including tearsheets, applicable invoices, total calls received, and any relevant tracking data.
6. Once the form is filled out completely, review all entries for accuracy. Save your changes as needed.
7. To finalize your submission, print the completed form and send it, along with all checklist items, to the specified address for Phonak in Warrenville, IL.

Start completing your Hearing Aid Affiliate Program submission online today!