Southampton Resident Discount Card Application Form

Please provide the following information to apply for your Southampton Town Resident Discount Card.

We will process your Discount Card for you and send confirmation directly to your email address.

If you would prefer not to provide the required information via this tool, feel free to send it in an email to info@sagharborcinema.org, or provide in person at the box office.

Please enable JavaScript in your browser to complete this form.

Name *

First

Last

Email *

Address *

Address Line 1

Address Line 2

City

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Zip Code

Phone *

Customer Account Number

If you already have a customer account with Sag Harbor Cinema and know your account number, provide it here.

How to provide proof of voting residence:

An easy way of providing proof of Voting Resident status is by entering your information at https://voterlookup.elections.ny.gov and taking a screenshot of the resulting info. Upload that screenshot below.

Proof Account Phone

Upload Proof *

Click or drag a file to this area to upload.

Submit