Contact Information
* = required fields

MWL Account # *

PO#

Company Name *

First Name *

Last Name *

Street Address

Apt / Suite / Other

City

State

Zip Code

Country

Email *

Phone Number *

Fax Number

Label Type *
 USDA Format Label
 NEW FDA Format Label

Label Format *
 PDF
 TIFF
 JPEG

Product Information

​Product Name *

Sample Type (Matrix) *

Serving Size Option 1 *

Servings Per Container Option 1 *

Serving Size Option 2

Servings Per Container Option 2

Tell us about your process. Is the sample cooked boiled, fried, etc. Please note depending on sample processing, we may need physical sample sent in for analytical testing to verify nutritional values.

Percent Moisture Loss (if known)

Percent Fat Loss (if known)

Amount of Added Sugar ¹ 

List Each Ingredient & Amount 
(include brands if relevant)
 

or Upload Product Spec Sheet & Recipe file