Cause Marketing
Assessment Form
Companies are required to commit to a minimum $25,000 annual guarantee for all cause
marketing relationships.
Please return completed form to corporateinitiatives@alz.org
Date:
To Whom It May Concern:
Thank you for expressing interest in working with the Alzheimer's Association. In order to help us
understand how the Association can work with your company, please fill out this questionnaire. To
learn more about how your company can get involved with our cause, visit www.alz.org/jointhecause.
Company/Contact Information:
Company's full name:
Company Contact:
Address:
City:
Phone:
State:
Email:
Zip:
Company web address:
To ensure that all cause-related marketing promotions benefiting the Alzheimer’s Association
are consistent with best practices, the Association requires a guaranteed financial commitment of
$25,000.
Will your company be able to provide a guarantee of funds to the Association in order to use
licensed marks?
Yes
No
Description of Product/Service:
Please describe:
1. What your company does and/or what products/services it provides:
2. The product or campaign you want to promote:
3. The target audience you are reaching, established distribution channels and marketing activities
to support the promotion and/or product sales:
Additional Information:
Please describe:
1. The timeframe in which you would require the Association to make a decision about the
relationship:
2. The duration of the promotion and how it will be marketing and implemented:
3. The specific percentage of sale that will be contributed to the Alzheimer's Association:
4. The expectations of the Association in the relationship:
5. Will the Association be the sole beneficiary?
6. How you will measure the success of the program:
7. Is this a national, regional or local program?
Your information will help the Corporate Initiatives Team begin to understand the proposal you
suggest. If there is additional information you would like to share with us, please do so.
Please return this form to corporateinitiatives@alz.org.
We look forward to hearing from you.