Registration

Username*

Email*

First Name

Last Name

Store Name*

https://shopindianagrown.org/store/[your_store]

Address 1*

Address 2

Country*

City/Town

State/County

Postcode/Zip*

Store Phone*

Date Business Started*

Number of Employees*

Type of Business*

Gender*

Race*

Ethnicity*

Military Status*

Would you like to meet with a no-cost Indiana SBDC Business Advisor to help prepare you for e-commerce sales?*

Which of the following four Indiana Grown member categories does your farm/business fall under?*

Do you agree to our Vendor Terms and Conditions?*

Password*

Confirm Password*