Vendor Registration Form | Human Resources

All submissions for discounts for products and services must include a contact name and phone number. If a product or service discount is time sensitive (discount available for less than one calendar year), the offer must include an expiration date. The product or service cannot compete with an existing product or service available as a Duke University or Health System benefit. Please submit offers in lower and upper case. Do not use all CAPS.

Business Name *

Business Address *

City *

State *

Zip Code *

Business Phone *

Business Website Address *

Contact Person Name *

Contact Person Phone *

(if different than above-will not be published)

Email Contact *

(will not be published)

Description of Discount *

(as you would like it to appear advertised including any restrictions associated with the offer)

New discount offer or update to a current listing? *

New discount offer

Change to current listing

Human Resources

Employee Discounts Vendor Registration Form

Benefits

You are here

Employee Discounts Vendor Registration Form

Benefits