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Official Supermarket for the Jacksonville Jaguars and New Orleans Saints!
Enroll for our card now!

Customer Reward Card : Application for Enrollment

To apply for your Customer Reward Card today simply:

Store Number:    (search for store number)

1. Fill out the membership form below.
2. Verify and submit your registration information.
3. Receive your new Winn-Dixie Reward Card in the mail.

Applicant Information

Please select one:  

Please complete all fields (required):

If you live outside the United States, please click on the following link to request your Customer Reward Card. Be sure to include your name, address, and note the area of the US you will be visiting (example: Tampa-Florida, Miami-Florida, New Orleans-Louisiana)
Send email to Card Administrator.
Applicant - First Name       M.I. Applicant - Last Name      
Address   Unit Number
City     State   Zip    
         
Area Code + Phone Number    
( ) -
E-mail Address    

Please check one:  		  

Birthday (optional) /


 

Would you like to enroll in our Baby Club?
As a Baby Club Member you will receive valuable discounts, coupons and gifts for you and your baby to enjoy. To enroll you must have a baby between expected and two years of age and you must provide us with a valid expected date or actual birthdate.  
Please complete the following:  
Baby's First Name (Optional)     Baby's Last Name (Optional)    
Baby's Gender:
Baby's Birthdate (M/D/Y) Birthdate is:
/ /    
Baby's First Name (Optional)   Baby's Last Name (Optional)  
Baby's Gender:
Baby's Birthdate (M/D/Y) Birthdate is:
/ /    
Baby's First Name (Optional)   Baby's Last Name (Optional)  
Baby's Gender:
Baby's Birthdate (M/D/Y) Birthdate is:
/ /