Military Discount Verification

Complete the form below to verify your eligibility for the military discount

Military Discount FAQ

Email Address

Valid email address required to submit form

First Name

Last Name

Birth Month

Birth Date

Birth Year

Current Status

Branch of Service

Address

City

State

Zip

SUBMIT FOR REVIEW

Information entered into this web form will be used for verification purposes. The information will be shared with Boscov's Department Store, LLC