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WIC Materials Order Forms

Click here to download the latest version of the WIC Materials Order Form
(Word 2000 file).

Print and complete this form and mail or fax it to Anne Marie Rosher at:

DPH - WIC Program
250 Washington Street, 6th floor
Boston, MA 02108-4619


- or -

FAX: (617) 624-6179


Click here to download the latest version of the Outreach Incentive Items Order Form
(Word 2000 file).

Print and complete this form and mail or fax it to Karan DiMartino at:

DPH - WIC Program
250 Washington Street, 6th floor
Boston, MA 02108-4619


- or -

FAX: (617) 624-6179

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The Commonwealth of Massachusetts

Deval L. Patrick - Governor
Timothy P. Murray - Lieutenant Governor
Judyann Bigby - Secretary of EOHHS
John M. Auerbach - Commissioner - Department of Public Health
Sally Fogerty - Director - Bureau of Family Health and Nutrition
Mary Kelligrew Kassler - WIC Program Director


The Learning Center
63 Fountain Street
Framingham, MA 01702
P: 508-875-8700
F: 508-875-8990
E: tlcinfo@state.ma.us


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