www.aja.com
Marketing Development Fund (MDF)
Program Claim Form
Company:
Date of Request:
Authorized Representative:
Claim Number:
Company Address and Contact Information:
Address:
Suite/Apt:
City:
State/Province:
Country:
Postal Code:
Phone/Fax:
Email:
Please check:
Authorized Reseller
Authorized Distributor
Authorized Third Party Reseller*
Please List Reseller:
*Must be approved by AJA Video Systems, Inc. and be an Authorized Third Party AJA Reseller through an Authorized AJA Distributor.
Please note: MDF will be awarded directly to the AJA Authorized Distributor not Third Party Resellers.
Because it matters.
www.aja.com
Marketing Development Fund (MDF) Program Claim Form
Approved Activity:
Results Summary (fill out all that are applicable in numeric or percentage values):
Total Reach
Attendees
Responses
Quotes Generated
Closed Sales
Revenue Generated
Ongoing
Qualified Leads
Additional supporting information:
Because it matters.
www.aja.com
Marketing Development Fund (MDF) Program Claim Form
Actual Expense Allocation(s):
Resource Allocations
Please List (i.e. booth rental, ad
space, printing, key words, etc.):
Expense Amount
(circle/list local currency)
Percentage of Activity
Dedicated to
AJA Video Systems, Inc Products
USD GBP EUR
%
USD GBP EUR
%
USD GBP EUR
%
USD GBP EUR
%
Total Expenses:
USD GBP EUR
Total Request Amount:
USD GBP EUR
Please note: All Proof of Performance documentation must be submitted with MDF Claim Form. Proof of Performance documentation may
include; event pictures, advertising clippings and/or online banner links and images, etc. Additionally, all proof of expense documentation
must be included i.e, invoice, receipts and other expense documentation.
Because it matters.
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