Military Discount Verification

Complete the form below to verify your eligibility for the military discount

*Required Information

Email Address *

Valid email address required to submit form

First Name *

Last Name *

Date of Birth *

Current Status *

Branch of Service *

Address *

City *

State *

Zip Code *

Information entered into this web form will be used for verification purposes. The information will be shared with Boscov's Department Store, LLC

Customer Service