SFVS Discount Provider Application

Instructions:

• print out and complete the coupon below, copy for your files and mail original to address below
• advise your staff of specific discount, and that members who present their current SFVS cards at
  time of purchase are eligible for the discount.

Name of business ___________________________________________

Contact Name _____________________________________________

Address _______________________________________________

Yes! We want to be a participant in the SFVS Discount Program.

We agree to provide the following discount to card-carrying SFVS members. Should we decide to modify
the terms of, or terminate our participation in the discount program, we will notify you six weeks before
the effective date of this decision. We have notified all appropriate staff of this agreement.

Discount: _____% on the following Products or Services

Date: ____________________________________________________

Owner/Manager: ___________________________________________

Print out this form and send to:

SFVS PO Box 2510, San Francisco, CA 94126