Register

Please enter the information requested below to become a registered customer at LexandriaCrop.com.
( * = Required )

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.
Use Billing Address as Shipping Address

Street Address

City State Zipcode

E-mail

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