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Please enter the information requested below to become a registered customer at LexandriaCrop.com.
( * = Required )
Login Information
User Name ( 4- 25 Characters )*

Password ( 4 - 30 Characters )*         Confirm Password*

Firm Information 
Firm Name
Seller's permit Number*
By providing this information, I hereby certify that I hold valid seller's permit no. above which issued pursuant to the Sales and Use Tax Law and that I am engaged in the business of selling.

Billing Address
The address that appears on your credit card statement.
First Name*                                   Last Name*

Street Address* 

City*                                  State*                               Zipcode* 
Phone* (xxx)xxx-xxxx or xxx-xxx-xxxx        Fax

Shipping Address
The Address to which the products are delivered.

Street Address 

City                                   State                                 Zipcode 

The E-mail is really important; during the register process we will sent the information to you via this E-mail.