Student Rewards 2026 - 2027 Question Title * Contact Information: (Required.) First Name * Last Name * Address * Address 2 City/Town * State * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code * Email Address * Phone Number * Question Title * Please select your home store from the drop-down list below: (Required.) Dan's Foothill - 1350 S Foothill Blvd, Salt Lake City, UT 84108 Fresh Market Provo - 560 W Center St, Provo, UT 84601 Macey's Orem - 880 N State St, Orem, UT 84057 Macey's Provo - 1400 N State St, Provo, UT 84601 Question Title * Choose your Perks* Visit our website for more details. (Required.) Grocery Rewards Fuel Rewards Question Title * Student Photo ID upload (Required.) Question Title * Please select your university from the drop-down list below: (Required.) BYU - Brigham Young University U of U - University of Utah UVU - Utah Valley University Question Title * Birthday: (Required.) Enter date below Date Question Title Done
