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Contact the MPRNAC

Below is information and a basic form you can use to contact the MPRNAC. You can use this form to request information from the MPRNAC.

We hope that you find this information helpful and we encourage you to contact the appropriate individuals or representatives with questions, concerns or suggestions on how we might improve our services to you.

Please provide the following contact information.

First name Last name
Phone Email
Fax P.O. Box
Address City
State Zip Code

Brochures. If you are interested in receiving copies of any of the brochures we have available, please indicate which ones you would like us to send.

Which brochures are you interested in receiving?
Commodity Foods and Sodium   Guidelines for Diabetics   Nutrition Labeling Facts     

Demographics. If you have a few extra minutes we would greatly appreciate if you could provide us with a bit of information about you. (Please note this information will only be used to improve our website, so that we may offer you the information you are looking for.) Thank you for your time.

Please indicate your gender:   Male   Female
Please enter your age:    
Please indicate your marital status:   Married   Single
Please indicate the number of children in your household (if any):
Does anybody in your household have Diabetes?:   Yes   No

Questions or Comments

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