Southampton Town Resident Discount Card Renewal

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Name

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Last

Name Card Address

Address

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Address Line 2

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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.