Double Up Food Bucks Customer Form
Anyone receiving SNAP benefits is eligible for the DUFB program.
Our Point-of-Sale system will track your DUFB dollar amount for you, and the process at check-out is automated.
All DUFB program users will need to be set up as a Customer in our system - simply fill out this online form.
Sign in to Google
to save your progress.
First and Last Name:
Your 10-digit Phone Number
If you are Co-op Owner, please enter your Owner number:
Never submit passwords through Google Forms.
This form was created inside of Keweenaw Cooperative Inc..