Partner Intake Form | thunder hearing

Contact Information

First name

Last name

Company Name

Job Title / Role

Email

Phone

Company & Professional Background

Primary Type of Work (select all that apply)

Primary Markets You Serve (e.g., libraries, theaters, houses of worship, schools, healthcare, government, commercial)

Geographic Area(s) Served

City

State

Region

Nationwide

Assistive Listening Experience

How often do you encounter assistive listening or hearing accessibility needs?

Frequently (part of many projects)

Occasionally

Rarely, but want a trusted partner when it comes up

Which assistive listening systems have you encountered or worked with?

Hearing loops

FM / IR systems

Auracast™ broadcast audio

Unsure / need guidance

Partnership Interest

What are you hoping for in a partnership with Thunder Hearing & Sound?

How would you most likely engage with us?

Affiliate partner (introductions to clients/projects)

Collaboration on active projects

Design-assist support

Ongoing accessibility resource

Estimated number of potential referrals per year (optional)

Option 1-2

3-5

6+

Not sure yet

Compliance & Collaboration

Are you familiar with ADA requirements related to assistive listening systems?

Yes

Somewhat

No, looking for guidance

Are you currently working with any assistive listening specialists?

Yes

No

Additional Information

Anything else we should know about your work or upcoming projects?

Submission Acknowledgment

By submitting this form, you acknowledge that Thunder Hearing & Sound will contact you to discuss potential partnership opportunities. Referral or affiliate arrangements are discussed individually and are not guaranteed.