Warehouse Club Military Discount Verification Form
Verify your military discount eligibility and provide the details needed to process your warehouse club discount request.
Applicant Information
Full Name
*
First Name
Last Name
Date of Birth
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Military Eligibility Details
Military affiliation/status
*
Active Duty
Reserve/National Guard
Veteran
Retired Military
Military Dependent
Other Eligible Category
Branch of service
*
Army
Navy
Air Force
Marine Corps
Space Force
Coast Guard
Other/Not Applicable
Proof type provided for verification
*
Military ID
Veteran ID Card
DD214
Dependent ID
Other Approved Proof
Last 4 digits of ID/reference number used for verification
*
Discount Processing Details
Warehouse Club Membership Number
Preferred Discount Application Method
*
Apply In-Store
Apply to Existing Membership
Apply at Renewal
Notes or Supporting Information
Submit Verification
Should be Empty: