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Employee Discount Vendor Form

Please make sure to include all discount information, including expiration date, restrictions, etc. All submissions must include a publishable phone number and address. Once a request has been received, it will be reviewed before being approved for posting as part of the University of Richmond Employee Discount Program. Please fill out the Program Vendor Form below to be considered.

 New discount offer
 Change to a current listing

Vendor Information

Business Name: 

Business Address

Street:  City:         State:  Zip: 

Web Address: 

Business Phone: 

Contact Name: 

Contact Phone: 

Contact E-mail: 

Discount Information

Discount Offer (please include the discounted % off, expiration date, restrictions, etc.)

Discount instructions (how to obtain the discount - show ID card, online discount code, etc.)