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Home
Discounts
Vendors
Guidelines
Contact Us
Get Updates
Vendor Options
Vendor Application Form
Vendor Removal Form
Vendor Guidelines
Vendors
** For business applications **
NOTE:
We are not accepting "Web Only" vendors at this time.
Vendor Application Form
Company
Required
Address
Required
City
Required
Zip Code (5 Digits)
Required
Invalid Zip Code (5 Digits)
County
select
Statewide
Allen
Anderson
Atchison
Barber
Barton
Bourbon
Brown
Butler
Chase
Chautauqua
Cherokee
Cheyenne
Clark
Clay
Cloud
Coffey
Comanche
Cowley
Crawford
Decatur
Dickinson
Doniphan
Douglas
Edwards
Elk
Ellis
Ellsworth
Finney
Ford
Franklin
Geary
Gove
Graham
Grant
Gray
Greeley
Greenwood
Hamilton
Harper
Harvey
Haskell
Hodgeman
Jackson
Jefferson
Jewell
Johnson
Kearny
Kingman
Kiowa
Labette
Lane
Leavenworth
Lincoln
Linn
Logan
Lyon
McPherson
Marion
Marshall
Meade
Miami
Mitchell
Montgomery
Morris
Morton
Nemaha
Neosho
Ness
Norton
Osage
Osborne
Ottawa
Pawnee
Phillips
Pottawatomie
Pratt
Rawlins
Reno
Republic
Rice
Riley
Rooks
Rush
Russell
Saline
Scott
Sedgwick
Seward
Shawnee
Sheridan
Sherman
Smith
Stafford
Stanton
Stevens
Sumner
Thomas
Trego
Wabaunsee
Wallace
Washington
Wichita
Wilson
Woodson
Wyandotte
Statewide is included in the list. We do not accept ''Web Only'' Vendors.
Business Phone
Required
Invalid Phone Number (10 Digits)
Contact Name
Required
Contact Phone
Required
Invalid Phone Number (10 Digits)
Contact Email
Required
Invalid Email Address
Discount Details
Required
List the Duration
Product/Services Offered
Required
Brief Description Only
Industry
select
Other
Automobile
Bakery
Beauty
Cellular Phones
Clothing
Computers
Day Care
Dining & Restaurants
Education
Entertainment
Flowers
Health & Fitness
Hearing Aids
Home Improvement
Housing - Apartment, Mortgages
Jewelers
Museums
Museums & Historic Sites
Other Retail
Pet Insurance
Photography
Select an industry
Services
Sporting Events
Travel & Lodging
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)
[Hint]
The State of Kansas reserves the right to decline any business from participating in this program.
Submit
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