SPECIAL DISCOUNTS

Proper identification is required in order to qualify for any of our discount programs. To apply, please complete the Discount Pricing Application and submit with the necessary supporting documentation. Your application and documentation will be reviewed by the Discount Pricing Administrator. A Customer Service Specialist will be in touch with you to confirm your discount and to set up your account. Restrictions may apply. The Discount Program purchases are for personal use only.

PLEASE NOTE:

You designated discount, once established, will be activated by a coupon code provided by our Customer Service team. You must be logged in for this coupon to work, as it is associated with your account.

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Discount Pricing Application

Please complete this form, and submit supporting documentation via email to mail@vibranthealth.com or via mail at Vibrant Health Customer Service, 1 Waterview Drive, Suite 103, Shelton, CT, 06484.

Please provide the following information All discounted orders must be shipped to this address

Name Address

City State Zip

Email Phone

Which discount program are you applying for (Please select one from the following Discount Programs)

Senior Discount Medical Dispensation Discount

Acceptable Documentation (Please check only one)

Senior Discount

Driver's License Birth Certificate Passport

Medical Dispensation Discount

A signed & dated letter from a physician on practice's letterhead that MUST describe the condition(s) being treated and product(s) being recommended.

*All supporting documents are kept private and are reviewed only by the Discount Price Administrator.

I certify that the documentation I am submitting with this application form to be true. I understand that Vibrant Health may ask for updated proof each year to maintain this discount. I also understand that I am to notify Vibrant Health should I no longer be eligible. The product I purchase with this discount is for my personal use only.

Signature Date

Senior

Seniors 65 and older may apply for a discount on full size Vibrant Health products.

Medical Dispensation

Customers that are currently suffering from a medical condition who could benefit from our products may apply a discount on a full size Vibrant Health product.

Military and First Responders

Enjoy exclusive discounts on premium wellness products at Vibrant Health through ExpertVoice.