• NLC Prescription Discount Card Order Form

    Order form to request more information and for cities in the NLC Prescription Discount Program to request the new version of customized city discount cards.

  • Shipping Address

  • Primary Contact

  • - -
  • Logo Requirements for Materials

    A file of the city logo/seal (jpg format) is needed in order to create the customized city card if you have not provided previously.
  • * Must be a jpeg or jpg
  • Please confirm how the city name should appear on the ID card.
  • 10% of your population is a good start in suggesting print quantities.
  • (posters and card holders are not customized with city name or logo)