Alien Smoke & Vape - Student Discount Verification
Full Name
*
First and Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
.edu email required
Rewards / Store Account Email
*
This is the email you use in-store or online to earn points, receive discounts, and track purchases. If you don’t have one yet, enter the same email above.
Date of Birth
*
/
Month
/
Day
Year
Date
School / University Name
*
Current Enrollment Status
*
Full-Time
Part-Time
Other
What location do you shop at most?
*
Please Select
Nacogdoches
Converse
UTSA
City Base
Online
Upload Student ID
*
Browse Files
Upload a clear photo / screenshot of proof
Cancel
of
Please verify that you are human
*
Submit
Should be Empty: