Interested in Offering a Discount for your Goods or Services to University Health System Employees?

If so, please fill out and submit the application below.

Once an application is received from either an individual or corporate vendor (a "vendor"), the application is reviewed by the University Health System Employee Discount Review Committee. Vendors must obtain application approval and accede to the Discount Vendor Agreement in order to obtain final approval to enter the Employee Discount Program. Once approved by University Health System, the vendor’s discount offer usually is posted to the Employee Discount website at the beginning of each month.

Discount Vendor Agreement
All Fields are Required:
Yes, I have reviewed and acknowledge acceptance of the terms stated above.
Vendor/Company Name:
Point of Contact First Name:
Point of Contact Last Name:
Enter Email:
Confirm Email:
Contact Phone:
ex. 210-999-9999
Address:
City:
State:
Zip:
Length of Discount:
(min. of 6 months)
Discount Website URL (enter N/A if not applicable):
ex. http://www.YourSite.com
Discount Offer Details: