California WIC Eligible
Whole Grain - Bread 100% Whole Wheat
Product Submission
Company Name
*
Contact Person
*
E-mail
*
Street Address
*
City
*
State
*
Zip Code
*
Phone Number
*
Enter product information below:
All products must meet current CA WIC Standards
UPC Code
*
(12 digits, no spaces)
Brand Name
*
Product Name
*
Size
*
16 oz
Bread-Type
*
Loaf
Buns
Rolls
*Front Label States 100% Whole Wheat
*
Yes - Required
Manufacturer Suggested Retail Price
*
Comments
Upload image of product label including:
front label, Nutrition Facts, legible Ingredients list and UPC
Name image using the 12 digit UPC.
*
Upload a File
File types pdf, doc, xls, jpg, jpeg, gif, png, mp3, and mpeg allowed - Max upload file size is 5000 KB.
I verify that this product is distributed in California.
*
check here
Submit Form
Print Form
Should be Empty: