MCVDCP Merchant Form | Monroe County, NY

Please use this form to enroll your business in the Monroe County Veterans
Discount Card Program. Be sure to include the official name of your business,
its address, hours, and discount specifications.

QUESTIONS? Call the Veterans Outreach Center at (585) 546-1081.

Business Name *

Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

Merchant Website

Contact Person *

Hours *

Are you a Veteran-Owned Business? *

Yes

Discount Percentage

Other Discount

Limits or Conditions

Business Owner Name *

CAPTCHA

This question is to prevent automated spam submissions.

   ___    _                  _     __        __  _   
  / _ \  | |      _   _     / \    \ \      / / | |_ 
 | (_) | | |     | | | |   / _ \    \ \ /\ / /  | __|
  \__, | | |___  | |_| |  / ___ \    \ V  V /   | |_ 
    /_/  |_____|  \__, | /_/   \_\    \_/\_/     \__|
                  |___/

Enter the code above *

Enter the code depicted in ASCII art style.

print this page email this page back to top

About MonroeCounty.gov · Accessibility and Standards · RSS News Feed
Disclaimer and Privacy Policy · Non-Discrimination Policy

QUICK LINKS