Southampton Town Resident Discount Card Renewal

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Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Name Card Discount

Southampton Town Resident Discount Card number

This number can be found on your physical Discount Card or in your online account settings.

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.

Upload Proof

Click or drag a file to this area to upload.