To go to the next field, press the TAB key. All fields must be completed before pressing the submit button. To submit your registration, press the ENTER key or click on the "submit" button.

WIC Vendor Training Pre-Registration Is Required Please arrange for a manager, head cashier, training staff, or cashier to attend one of the regional training sessions.
Vendor Name:
Address:
City/State/Zip:
WIC Account No./Outlet No.:
City Attending:
Session Date/Time:
Number of Staff Attending:
Contact Person:
Contact E-mail Address:
Phone Number:	- -

Call or fax registration form to: WIC Vendor Training
Phone: (800) 252-9629
Fax: (512) 341-4422

E-mail for vendor training reqistration inquires.

Direct information, questions, and materials to:	Mark Morrow Phone: (800) 252-9629, ext. 2308 or
	Bill Spence Phone: (800) 252-9629, ext. 2512

Registration Confirmation

Before you submit your registration form, please print yourself a copy. If you have a problem submitting your registration, send form to:

Department of State Health Services
1100 West 49th Street
Austin, TX 78756
Attn: WIC Vendor Training
Training and Technical Assistance Division

Or fax your registration form to:
Attn: WIC Vendor Training
(512) 341-4422

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Last Updated July 3, 2007

WIC Training

WIC Vendor Training

Pre-Registration Is Required

Registration Confirmation