Vendor Registration

Username*

Username*

Email*

Email*

First Name

First Name

Last Name

Last Name

Store Name*

Store Name*

https://regionalgoods.com/vendor/[your_store]

Address 1*

Address 1*

Address 2

Address 2

Country*

Country*-Select a location-United States (US)

City/Town

City/Town

State/County

State/County

Postcode/Zip*

Postcode/Zip*

Store Phone*

Store Phone*

Open Since? (Month/Year)

Open Since? (Month/Year)

About Your Company*

About Your Company*

Where is your product made?

Where is your product made?

What is the shelf life of your products?*

What is the shelf life of your products?*

Do you have UPC's on your packaging?

Do you have UPC's on your packaging?

Do you have distributor pricing in place?

Do you have distributor pricing in place?

Special Handling Requirements (select all that apply)

Special Handling Requirements (select all that apply)Must keep refrigerated Must keep frozen Frozen during transportation and storage only Refrigerated or frozen when sold Fragile Shelf Stable No Special Handling Requirements

Password*

Password*

Confirm Password*

Confirm Password*