Eggs
Product Submission
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Enter product information below:
All products must meet current CA WIC Standards
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Product #1
UPC Code
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(12 digits and no space)
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Product Name
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Grade
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AA
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One Dozen Only
Suggested Retail Price Per Unit
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Suggested Retail Price must be filled to be considered.
Comments
Upload image of product label including:
front label, Nutrition Facts, legible Ingredients list and UPC Please shrink image size
Name image using the 12 digit UPC.
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Max upload file size is 5000 KB; preferred file type is PDF but, will also accept doc, xls, jpg, or jpeg.
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Product #2
UPC Code
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(12 digits and no space)
Brand Name
*
Product Name
*
Grade
A
AA
Size
One Dozen Only
Suggested Retail Price Per Unit
*
Suggested Retail Price must be filled to be considered.
Comments
Upload image of product label including:
front label, Nutrition Facts, legible Ingredients list and UPC Please shrink image size
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
Product #3
UPC Code
*
(12 digits and no space)
Brand Name
*
Product Name
*
Grade
A
AA
Size
One Dozen Only
Suggested Retail Price Per Unit
*
Suggested Retail Price must be filled to be considered.
Comments
Upload image of product label including:
front label, Nutrition Facts, legible Ingredients list and UPC Please shrink image size
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
Product #4
UPC Code
*
(12 digits and no space)
Brand Name
*
Product Name
*
Grade
A
AA
Size
One Dozen Only
Suggested Retail Price Per Unit
*
Suggested Retail Price must be filled to be considered.
Comments
Upload image of product label including:
front label, Nutrition Facts, legible Ingredients list and UPC Please shrink image size
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
Product #5
UPC Code
*
(12 digits and no space)
Brand Name
*
Product Name
*
Grade
A
AA
Size
One Dozen Only
Suggested Retail Price Per Unit
*
Suggested Retail Price must be filled to be considered.
Comments
Upload image of product label including:
front label, Nutrition Facts, legible Ingredients list and UPC Please shrink image size
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
California Department of Public Health
Submit Form
Print Form
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