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Company Name
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Your answer
Contact Name
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Your answer
Phone Number
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Your answer
Email
*
Your answer
Company or Brand Website
*
Your answer
Product Name(s)
*
Your answer
Product Type
*
Packaged Grocery
Refrigerated
Frozen
Bulk Foods
Beer, Wine, or Cider
Bread or Bakery
Meat or Seafood
Produce
Other:
Required
Product Details (Check all that apply)
Product(s) have a UPC/Barcode
Has Nutritional Information on the product/package
Has Allergen Information on the product/package
Produced in Vermont
Other:
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