If you would like to use our CHF We’re #withconsumers Tick for your next national or international event, publication or initiative, please complete the form below and allow up to ten working days for a reply. Name Prefix - None -MrsMsMrDrMissProfHonAssoc ProfAdj Prof First Name * Last Name * Name of Organisation * Street Address Street Address Line 2 City Postal Code State/Province Phone Number * Phone Number 2 Phone Extension 2 Email * Is your organisation a * Not for profit Commercial enterprise Name of event, publication or initiative claiming the CHF We’re #withconsumers Tick status * Dates during which you will be using the We're #withconsumers Tick - Start Date * Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year20172018201920202021 End date Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year20172018201920202021 Please provide a statement explaining how the Tick will be used. * URL of event, publication or initiative claiming the CHF We’re #withconsumers Tick status Hashtag of event, publication or initiative claiming the CHF We're #withconsumers Tick status List examples that demonstrate how the event, publication or initiative is collaborating/engaging with consumers. Please provide evidence, including links. * (NOTE: This is mandatory. Applications without these links will be automatically rejected.) Please provide a statement demonstrating how your organisation’s goals align with CHF’s mission and objectives. * Please click here to view CHF's Vision and Mission. Leave this field blank
