Dealer Registration Form

Please complete the form below to register as an OLDs Garden Seed dealer.
Once your request is approved, you can place orders online.
Please enter all required information marked with an asterick(*).
Business Name: * 
First Name: * 
Last Name: * 
City: * 
State: * 
Phone Number: * 
All registrations require a valid email address and secure password for accessing your account at a later date. Within 2 business days you will recieve an email notification that your account has been activated.
E-mail: * 
Confirm E-mail: * 
Password: * 
Confirm Password: *