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1 <br /> GET STARTED TODAY ! <br /> Please complete the information below and mail to: <br /> Andrew S. Goldschmidt, CAE, Director of Membership Marketing <br /> National Association of Counties <br /> 25 Massachusetts Ave., NW Ste. 500,Washington, DC 20001 <br /> Or e-mail the form to: agoldschmidt@naco.org <br /> County Name: <br /> Main County Contact: <br /> Title: <br /> Street Address: <br /> City: State: Zip: <br /> Phone: <br /> E-mail: <br /> County Website: <br /> Number of County Residents: <br /> ❑By checking this box you are confirming that this program is approved by the County's elected board. <br /> Logo requirements to produce NACo Health Discount Program materials for your county: <br /> CVS Caremark will need a jpg file of your county logo/seal in order to create the customized <br /> county card if you have not provided your logo before. Please e-mail the logo as an attachment to <br /> nacorx @caremark.com and indicate the county name and logo attached in the subject line. <br /> Please provide a contact name/street address for the delivery of the ID cards and display stands <br /> if different from above. (Please note we cannot deliver to PO. boxes): <br /> Please indicate how the county name should be referenced on the ID card: <br /> Spanish materials required: ❑Yes ❑ No <br /> The discount health program is NOT insurance. <br />