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Address Required

City Required

Zip Code (5 Digits) Required Invalid Zip Code (5 Digits)

County

Statewide is included in the list. We do not accept ''Web Only'' Vendors.

Business Phone Required Invalid Phone Number (10 Digits)

Contact Name Required

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Contact Email Required Invalid Email Address

Discount Details Required List the Duration

Product/Services Offered Required Brief Description Only

Industry

If you don't see your category, use ''Other'' and we'll assign/create as needed.

Restrictions (if any) Required If you have additional restrictions that are not covered in ''Discount Details'' box, please include them here.

Website Required Invalid URL (See Hint)

The State of Kansas reserves the right to decline any business from participating in this program.
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