Vendor Registration

Registration

Username*

Email*

First Name

Last Name

Store Name*

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

Address 1*

Address 2

Country*

City/Town

State/County

Postcode/Zip*

Store Phone*

Open Since? (Month/Year)

About Your Company*

Where is your product made?

What is the shelf life of your products?*

Do you have UPC's on your packaging?

Do you have distributor pricing in place?

Special Handling Requirements (select all that apply)

Password*

Confirm Password*