WIC UPC Database Survey
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1. Select Your Store Name:
Note:  If you are filling out this survey for corporate
           stores and want to have all survey answers
           apply to all of your stores/locations, please select
           one corporate store name and do not select a WIC
           ID number below.  When the data is compiled, all of
           the survey answers will be applied to all of
           your stores.
2. Select Your 4 Digit WIC ID Number:
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3. Please indicate below how soon you will be able to incorporate and use the Ohio WIC UPC database into your current retailer system:
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4. Once the UPC database is implemented in your store(s), will you have the capability to provide WIC sales data on a regular basis?
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5. Please provide the contact information for the staff that is able to provide WIC sales data for your store:
6. Comments:
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7. Name/Title of person completing this survey: