Use this form for submitting product information...

Product Name:


Manufacturer Information:


Barcode/UPC Information:


INGREDIENTS:


NUTRITIONAL INFORMATION:

Servings Size:

Servings Per Container:

Amount Per Serving:

CALORIES: CALORIES fm Fat:

TOTAL FAT: % Daily Value:

Saturated Fat: % Daily Value:

*TRANS FAT % % Daily Value:

* (Beginning Jan. 2006 This will be a requirement on all labeling.)

Cholesterol: % Daily Value:

Sodium: % Daily Value:

Total Carbohydrates: % Daily Value:

Dietary Fiber: % Daily Value:

Sugars:

Protein:

Vitamin A %: Vitamin C%:

Calcium %: Iron %:

ADD THE FOLLOWING CAUTIONARY STATEMENTS, (Check all that apply):

Prepared on shared equipment with nut products.

May contain peanut , nut or milk proptein traces.

Contains wheat.

Contains alcohol. Percentage by volume.

Refrigerate after opening.

No refrigeration required.

OTHER INFORMATION:


CONTACT E-mail address/Send proof to:

Thanks for your input