Maine WIC wants you to have a positive shopping experience. We appreciate you sharing your issues with us. About youFirst Name *Email Address *Phone NumberZip CodeCard Number (last 4 digits) *Store Name (or NA if not applicable) *Store Number or location (or NA if not applicable) *Date of Issue *Time of issueHoursMinutesAMPMAbout Your ExperienceCheckboxA PIN IssueA great shopping experienceI can't buy specific product(s) with WIC (attach pictures of products and receipts)I can't buy anything with WIC (attach pictures of product, receipts, PIN pad if relevant)Cashier issueOther experience or idea to improveDescription of issue or idea: Visual Text PHOTOS (Product, receipts, PIN pad message, etc.)Please take pictures of the items you could not purchase, receipts, or PIN pad messages (if applicable), then include them here by pressing the 'Choose File' Button. Please upload only one image per 'Choose File' button.Upload fileDrag and Drop (or) Choose FilesSend MessagePlease do not fill in this field.
