Military & Veteran Discount Program
As a thank you for your service, please complete the form below to receive a 10% discount on your monthly subscription. Please refer to our website for full details.
Name
*
First Name
Last Name
I am the spouse of the active or veteran military member.
*
Yes
No
Address of Account
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
I (or my spouse) is:
*
Active Military
Retired
Honorably Discharged
I belong to one of the following (if more than one, please select only one):
US Army
US Marine Corps
US Navy
US Air Force
US Coast Guard
National Guard
Reservist
I am providing documentation of my active duty status in the form of:
*
Valid Federally issued Military ID
Valid IL Driver's License with Veteran Designation
DD214
I will provide my documentation by:
*
Uploading a scanned copy to this form.
Coming to the Strada Office.
Please upload a scanned copy of your documentation.
Browse Files
Cancel
of
Submit
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform