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DAN Member Discount Program
Discount Submission Form

To submit a valuable discount that you wish to offer to DAN Members, please complete and submit this form. DAN reserves the right to edit all information and limit discounts to those that best meet the needs of its membership. DAN also retains the sole discretion as to whether a discount qualifies for inclusion in the program. Once submitted, your discount must be approved by DAN Staff prior to appearing live on this web site. Thank you for your support and cooperation.


Company Information

Company Name:
Street Address:
City:
State:
Zip:
Country:
Daytime Phone:
Email:
Website:

Contact Information

Contact Name:
Enter name of person submitting this form.
Phone:
Email:

Discount Information

Discount Category:
Discount:
Example: $5 Off Tank Fills (Air or Nitrox)
Short Description:   chars left
Example: DAN Members receive $5 off air or Nitrox tank fills ($2 off on weekends).
Approx. Value:
Enter approximate or maximum value of discount.
Redemption Instructions: Show DAN Member Card
Print Discount & Show w/ DAN Member Card
Provide Promotional Code (Online or Call)
Mail-in Rebate
Follow Link Provided Below
Redemption Details:   chars left
Website Link (URL):
Include link to page for more information about this discount and/or enter promotional code.
Terms & Conditions:   chars left
Be sure to list any restrictions and blackout dates that may apply.
Discount Start Date:
Discount Expires:
Access Code:
Enter Access Code:
Please enter the access code displayed in the image above to continue.



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