military and first responder discount form20% Discount Name * First Name Last Name Birthday * MM DD YYYY Email * Phone * (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Type of property * Residential Small Business Warehouse Fire Department Police Department Offices School other military / first responder * US Marine Corps US Army US Navy US Air Force US Coast Guard Reserves National Guard Law Enforment Firefighter EMT Thank you!