Whole Grains - Whole Grain Barley
Product Submission
Company Name
*
Contact Person
*
E-mail
*
Street Address
*
City
*
State
*
Zip Code
*
Phone Number
*
Enter product information below:
Pearled Barley is Not Allowed - All products must meet current federal WIC requirements
UPC Code
*
(12 digits, no spaces)
Brand Name
*
Product Name as named on Package
*
Size
I verify that this is a whole grain barley product and is not PEARLED BARLEY
*
Yes
Suggested Retail Price
*
Suggested Retail Price must be filled in to be considered.
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
Max upload file size is 5000 KB; preferred file type is PDF but, will also accept doc, xls, jpg, or jpeg.
Cancel
of
I verify that this product is distributed in California.
*
check here
Submit Form
Print Form
Should be Empty: