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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):
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:
/ /