Agency Partner Market Development Fund (MDF) Request Form
Please complete this form to request Market Development Funding from Recharge.  The request will be evaluated based on both the merit of the activity (type of activity and expected ROI) and the remaining available funds. You must have attained Select or Premier tier within the Recharge Agency program or Premier status within the tech program to be considered.  All fund approvals are at Recharge's sole discretion. MDF requests will be reviewed and approved or denied within 10 business days. For additional details on eligibility, please refer to the Activity & PoP matrix linked in the activity information section.
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Email *
Your Information
Please provide your contact & agency information.
First Name *
Last Name *
Email Address *
Company Name *
Activity Information
Please provide the detail of your MDF request. For details on eligibility, please refer to the Activity & PoP matrix in the MDF Program document: Review the program guide
What is the name of the Activity for which you are requesting MDF? *
Type of Activity *
Please provide additional detail on the request, including how specifically the funds will be used. *
Provide detail on how the Recharge brand will highlighted throughout the activity. Include links to proofs/mockups below to ensure faster request processing. *
What is the expected benefit of the activity and how did you determine the benefit? Please include # of expected leads, attendees, registrants, impressions, CPL, etc. as applicable to help justify the ROI.  *
Link the brief and relevant supporting documents or assets.
If needed, a sample brief template can be found here. 
How much money (USD) are you requesting for reimbursement?  Please note, your claim cannot exceed this amount & should be received in one request. *
Activity Start Date *
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YYYY
Activity End Date *
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YYYY
What does success of this activity look like to you? *
Is there anything else we should know about your request? (would you like to have a Recharge team member attend, are there any outstanding factors to consider)
Please confirm you will be able to provide the required Proof of Performance (PoP) alongside the invoice within 30 days of the Activity end date. Please refer to the PoP Matrix for the required PoP for each activity type. *
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