Partner Application
Thank you for your interest in working with AYA as a benefit partner. Our Business Development team uses responses from this form to identify potential partners. It takes ~2 minutes to complete.
What is your first name? *

What is your last name? *

What is the best phone number to reach you at? *

What is your role at your company? *

We are currently seeking partners who meet the following criteria:

- Alignment with AYA’s values and vision for the future, and a commitment to young Americans
- Prepared to provide a custom, best-in-class offering or incentive to AYA members
What is your company name? *

Please provide a brief description of your company. *

Please provide a brief description of the types of products or services you would like to offer to our members. *

Are you willing to offer AYA members a best-in-class discount / benefit? *

This means AYA members receive a discount that's at least as favorable as any offer you make available on your own site or through third party channels.
Is your product or service available nationally? *

This is neither good nor bad, so just be honest. It simply helps us understand how our community will engage.
Where is your product or service available?

Thanks for your interest in working with AYA as a benefit partner. We'll get back to you ASAP but please be patient--we're swamped responding to interested partners.
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