SNAP participants can earn up to $20 daily in Double Up Food Bucks (DUFB). Visit our website for more details and to learn about the benefits.

It may take up to one week to process your application. If you have questions, you can e-mail dub@lexington.coop or call 716-886-1036. Thank you for your patronage and participation, and we look forward to seeing you in the stores!

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* 1. First Name

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* 2. Last Name

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* 3. Address

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* 4. Phone Number

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* 5. E-mail Address.

Your e-mail will only be used for important Double Up Food Bucks notifications

If you don't have an e-mail address, type N/A.

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* 7. If you are not a Lexington Co-op owner you can skip this question.

If you are a Lexington Co-op owner, please enter your owner number below. If you don't know your number, enter "I don't know."

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* 8. Terms & Conditions

I hereby apply to become a member of the Double Up Food Bucks (DUFB) program at Lexington Co-op Markets.

I understand the terms of the program, how I can accrue DUFB, and what I can use my accrued DUFB to purchase. More information on how the program works can be found here.

I understand I am the only authorized user of this membership, only I may use the DUFB my account has accrued.

I understand that any DUFB accrued may expire after 1 year and may be cancelled at any time.

I understand that DUFB cannot be exchanged for cash value.

DUFB only apply at the Lexington Co-op and no other DUFB participating locations.

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* 9. By typing your name below, you agree that all answers in this survey are accurate to the best of your knowledge.

Type your name as your e-signature: