Member Benefit Partner Form

Member Benefit Partner Request Form

Business Name*
Business Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Contact Name*
Contact Email*
Business Phone*
Business Email*
Website*
Description of benefit offered, including discount code if applicable:*
Offer Type*
Provide a brief description of your discount offer as you would like it to appear, including any restrictions and/or requirements:*
Please list how to redeem this discount (i.e., use discount code, present digital member card at checkout, etc.):*
Discount Start Date*
MM slash DD slash YYYY
Discount End Date*
MM slash DD slash YYYY
Logo or Graphic Upload*
Please upload your logo or a graphic for use on the website and app.
Drop files here or

Max. file size: 12 MB, Max. files: 5.
By submitting this form, you acknowledge that you have read the Terms and Conditions for participating in the Auburn Alumni Association Member Benefit Program and agree to abide by them. You agree to notify the Auburn Alumni Association at aualumni@auburn.edu about discontinuation/changes to the discount or your involvement in the program, or if the relevant contact information changes.
- Opt In
By submitting this form, you acknowledge that you have read the Terms and Conditions for participating in the Auburn Alumni Association Member Benefit Program and agree to abide by them. You agree to notify the Auburn Alumni Association at aualumni@auburn.edu about discontinuation/changes to the discount or your involvement in the program, or if the relevant contact information changes.