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CAPE MAY COUNTY CLERK RITA M. ROTHBERG, COUNTY CLERK 7 North Main Street, P.O. Box 5000 Cape May Court House, New Jersey 08210-5000 Telephone: (609) 465-1010 ◼ Fax: 465-8625 Application for Cape May County Veteran Identification Card The undersigned hereby applies for a Veterans Identification Card and has shown evidence of eligibility at the Cape May County Clerk’s Office. This card may be presented to participating merchants/vendors for discounts offered to veterans. Discounts on goods and services are given at the discretion of the participating merchant/vendor. The Cape May County Clerk makes no representations as to the amount or availability of discounts redeemable by using a Cape May County Veterans ID Card. Application is herewith made by Applicant’s Full Name residing at Applicant’s Street Address NJ City Zip Code Phone number United States Military Division: Applicant’s Certification: I do solemnly swear (or affirm) and certify under the penalties of law that the information on this application is true. Sworn and subscribed to me this day of Notary or Special Deputy Clerk Signature of Applicant ---PAGE BREAK--- County Clerk’s Office use: Check off the documentation provided: The service member’s Federal DD Form 214. U.S. Military Honorable Discharge or Service Papers Other Serial Number: Discharge Date: Check off the proof of Cape May County residency provided: New Jersey Driver’s License New Jersey Non-Driver Identification Card Cape May County Voter Registration Card Other Veterans ID Card # Instrument # Book at (MM/DD/YYYY) (Document 3/23/2018