Food Sample(s) Form - 2022 National Child Nutrition Conference

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* 1. Contact Information

Name

Company

Email Address

Phone Number

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* 2. Please submit every product you will be distributing at your booth.

Product 1

Product 2

Product 3

Product 4

Product 5

Product 6

Product 7

Product 8

Product 9

Product 10

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* 3. Are the products listed above creditable in the CACFP and/or SFSP?

Creditable in the CACFP only

Creditable in the SFSP only

Creditable in the CACFP and/or SFSP

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* 4. Comment