Customer Reward Card: Application for Enrollment

To apply for your Customer Reward Card today simply:

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:

MrMrsMs

Please complete all fields (required):
If you live outside of the United States, you can get a Customer Reward Card at the Customer Service Desk in any Winn-Dixie store.

Applicant - First Name	M.I.	Applicant - Last Name

Address	Unit Number

City	State	Zip

Please check one:
I live at this residence year round. I live at this residence part of the year.	Birthday (optional) /

Yes, please send special offers through email.

Would you like to enroll in our Baby Club?
Baby Club