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* First Name

* Last Name

* Address

* Postal Code (Ex: A1A 1A1)

* Province

Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon

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Phone

* Brand

ALEXIS DE PORTNEUF ARMSTRONG BAILEYS BAXTER CATHEDRAL CITY DAIRYLAND DU VILLAGE 1860 JOYYA KINGSEY MILK 2 GO NEILSON NUTRILAIT SAPUTO CA SCOTSBURN SHEPHERD GOURMET DAIRY VITALITE WOOLWICH DAIRY

Product Name

Retailer Name, Address, City

UPC Code

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Manufacturing Code (Letters and numbers next to the Best Before Date (REG #/Time Stamp)

(Letters and numbers next to Best Before Date (REG #/Time Stamp))

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Best Before Date

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