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2. Business Name*
4. Business Address*
6. Business Catagory*
   -- Select One --Automotive/MotorcycleEducationEntertainmentFinancialFuneral Home/MemorialsHealth & WellnessHome Improvement/ServicesLodgingPersonal ServicesPetsPhotographyProfessional ServicesRecreationRetail StoresFood/RestaurntsTransportationOther
8. Business Phone Number*

   Example: (XXX) XXX-XXXX

10. Hours of Operation*

    Example: Monday-Friday 9:00am-9:00pm, Saturday-Sunday 9:00am-6:00pm

12. Business E-mail
14. Type the web address:

    Example: https://rockwallcountytexas.com/108/County-Clerk

16. Business Contact*
18. Business Title

    Example: Operations Manager

20. Business Discount*

    Example: 10% discount on parts and service.

    Please specify the percent or amount of discount.  Please include limits or conditions, if applicable

22. Signature/Sign-Off*

    I agree to offer the above listed discount to all veterans who provide the Rockwall County Veterans Discount Card.

24. Sign-Off Date*

    mm/dd/yyyy

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26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

* indicates a required field