Vendor Signup Form

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Dauphin County Veteran ID Discount Card Program Form

Name of Business:


Address/Participating Locations


Contact Name


Phone Number


Email


Website


Discount Offered


Other Offers


I agree to offer the above discount to all veterans who produce the Dauphin County Veteran's Discount Card. I am agreeing to offer this discount unless written notice is given through a fax to 717-780-6482.

Signature