Skip to form
Please complete the form if interested in offering a discount on your company's product or services to NCIA members.
Company name
*
Email
*
First name
*
Last name
*
Title of Discount
*
Description of Discount
*
Detail how discount will be redeemed and membership verified so that the discount is only offered to current NCIA members.
*
What is the approximate dollar value this discount is providing?
*
Promotional Graphic for Discount
Website URL
*
LinkedIn URL
Facebook URL
X (Twitter) URL
Company Logo
Are you offering similar discounts to other potential clients? If yes, please describe the offer and which other groups you are working with, if any.
*
Submit