Exclusive Member Benefit Form

MEMBER BENEFIT OFFER FORM
Your Details & Organisation

This section collects your contact details (for ADCH use only) and a short overview of your organisation to accompany your Member Benefit listing.
Your Name

First NameLast Name
Your Email

Confirmation Email
Organisation Name
Your role or position within Organisation
Organisation Website
Organisation General Email
Organisation General Phone Number
About your Organisation

0/75
Organisation Logo

Please upload a high quality jpeg or png version of your organisation's logo.
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Your Member Benefit Offer

This section collects information about the exclusive offer you’d like to share with ADCH Members. This information will appear in your Member Benefits listing on the Members' Area of our website.
Title/ Heading of your offer
Excerpt

0/40
The details of your offer

0/125
How to access your offer

0/100
Any relevant terms or conditions

0/100
Select where your offer will be available
Offer end date (if applicable)

DayMonthYear
2 digit day, 2 digit month, 4 digit year

Promoting Your Offer

We’d love to share your offer with ADCH Members through our social media channels and monthly newsletter, The Scoop. Upload a graphic and share your social media links so we can tag you in our posts.
Promotional Image
Uploading an image helps us better engage ADCH Members when promoting your offer.
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Social Media
Please add links to your organisation’s LinkedIn and Facebook profiles below so we can include them in our posts.
LinkedIn
Facebook

Review and Submit

Please ensure you’ve read and signed the required documentation by clicking the buttons below, and that you’ve agreed to the terms outlined before submitting your form.
Working with ADCH -
Code of Conduct
Exclusive Member Benefit -
Service Level Agreement
Please tick to confirm you agree:
Should be Empty:

MEMBER BENEFIT OFFER FORM