Greenbax Card Application


Sign up for a Greenbax Card:
Fill out the information below and then hit SUBMIT to complete the process.
Required fields are marked with an asterisk (*).

Title First Name * M.I. Last Name *
Mailing Address * Apt. No.
City * Country * State/Province * Zip Code *
E-Mail Address *
Email Greenbax updates to me.
 Home Phone  Cell Phone
() - Cell phone same as home phone? () - Text Greenbax updates to my cell.
Date of Birth (MM/DD/YYYY) Current Card Number If you already have a Piggly Wiggly Pig Card or a Greenbax Card
(from any merchant) please enter your current card number.
› reset
› submit
We value your trust and privacy. We do not sell or lease personally-identifying information to any other company, person or agency outside of Piggly Wiggly Carolina Co. or its affiliates. “Personally-identifying information” means your name, address, or other information by which you can be personally identified. The card and key tag are the property of Piggly Wiggly/Greenbax. They are not transferable. They must be surrendered on demand. Notify manager if lost or stolen, or call the Greenline 1-800-243-9880 ext. 8450.