MICHIGAN UPC DATA SUBMISSION FORM
Please complete all information requested below to help us complete your request efficiently.
STORE INFORMATION
Store Name
Store Address
City
State
Zip code
Contact Name
Manager
Clerk
Individual
Phone
Email
Select the quantity of items on which you wish to submit UPC data below.
The form will then generate the appropriate number of fields to match your selection.
Please be sure to complete all information requested.
Select Quantity
1
2
3
4
5
6
7
8
9
10
Can & Bottle Systems, Inc. • 1-866-302-2636 •
info@canandbottle.com
• ©2010 Can & Bottle Systems, Inc. All rights reserved.