Double Up Food Bucks New Outlet Application
Intake application for outlets interested in participating in the New Mexico Double Up Food Bucks program
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Name of person filling out this form *
Best phone number *
Best email address *
Outlet type *
Does your outlet have an FNS Permit? *
Does your outlet have an EBT Machine? *
Once you click "submit" below, please email Sarah Thompson at for more information.
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