HII Discounts Vendor Application Form

Please read the HII Discounts Vendor Rules and Regulations before filling out the form. Items with an asterisk (*) require a response.

Business Name*

Address*

Address (cont'd)

City*

State*

Zip*

Contact Name*

Contact Phone*

Email Address*

Discount Information*

Process for Obtaining the Discount*

Would you like your website listed with your information? YesNo

Website link

How did you hear about the HII Discounts program?
HII Discounts WebsiteHII Discounts AppPrint adOnline AdHII EmployeeSocial MediaOther

If you selected "Other," please tell us how you heard about the program.

Please Note: HII Discounts are posted onto a website that is available to the general public. Vendor must provide 90 days notice if the above mentioned discount is changed or discontinued.