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Click ‘Get Form’ to open the general store vendor form in the editor.
Begin by filling out Section A: General Information. Enter your company name, contact person, address, city/state/zip, telephone, fax, email, and website. Indicate whether you sell products on your website and if you permit purchased products to appear in advertisements.
Move to Section B: Product Information. Provide a brief description of your product(s), including cost and retail prices. List brand names and specify how long the product has been on the market.
Answer questions regarding copyrights/trademarks and list your top five current accounts with their contact details.
Indicate where your products are produced (USA or offshore) and state your annual production capacity along with last year's utilization percentage.
Complete the compliance section by certifying adherence to labor laws, safety standards, and environmental regulations. Address any product safety issues if applicable.
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Vendor Application and Forms | Georgia Department of Public
Oct 21, 2025 Vendor applicants must use the GA WIC Vendor Portal to complete and submit the application and documents listed on the Required Document Checklist.Read more
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