/ Wisconsin Department of Public Instruction
COMMUNITY NUTRITION ORDER FORM
PI-1498 (Rev. 12-13) / Submit Completed Order to:
E-mail:
OR
FAX: 608-267-0363
For inquiries call: 608-267-9129
Community Nutrition print materials are available only to agencies participating in Federal Child Nutrition Programs. If you have more than one site, consolidate your orders. All orders and shipping are free. Agencies are responsible for storage and distribution to their sites. Allow 2 to 4 weeks for delivery.
SHIPPING INFORMATION
Cannot ship to PO boxes
Agency Name / Agency Code / Contact Person First and Last Name
Street Address Required for Delivery / City / State / ZIP
Email Address / County / Daytime Phone Area Code/No.
CHILD AND ADULT CARE FOOD PROGRAM (CACFP) / SUMMER FOOD SERVICE PROGRAM (SFSP)

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Handout / Language
Available / No. of Items
“And Justice For All” 11” x 17” Posters / English
CACFP Brochures (100 Per Pkg.)* / English
Feeding Infants: A Guide for Use in the Child Nutrition Programs / English
What’s in a Meal? A Resource Manual for Providing Nutritious Meals in the CACFP (Limit One) / English
USDA Recipes for Child Care / English
Active Early: A Wisconsin Guide for Improving Childhood Physical Activity / English
Healthy Bites: A Wisconsin Guide for Improving Childhood Nutrition / English
Adult Day Care Lesson Plans for the USDA CACFP (Limit One) / English
Handout / Language Available / No. of Items
“And Justice For All” 11” x 17” Posters / English
SFSP Yard Signs Legs
SFSP Yard Sign / English
SFSP Yard Sign / Spanish
SFSP Posters / English
SFSP Posters / Spanish
SFSP Door Hangers / English/ Spanish
SFSP Business Cards / English

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*CACFP brochures are available to any organization wishing to promote the CACFP program.

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