Vendor Signup Form

Dauphin County Veteran ID Discount Card Program Form

Name of Business:

Address/Participating Locations

Contact Name

Phone Number

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