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WIC Retailer Update Registration
* Indicates Required Fields

*First Name:
*Last Name:
*Store Name (Doing Business As):
Corporation Name:
Vendor Stamp Number (If signing up for individual store):
*Email Address:
*Confirm Email Address:
*Phone Number: XXX-XXX-XXXX
By registering you will receive an email message notifying you when an update has been posted on the Wisconsin
Vendor Assistant website. After submitting your information, a confirmation email will be sent to you. Clicking the
confirmation link will complete the registration process. If you do not receive the confirmation email, please check
your spam folders. Thank you for registering for WIC updates.


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