Wholesale Area

Submit this form and your account and password will be added to the user database.  Note that all information entered in this form will remain confidential and only used for conducting Legend Products business.  Your personal information will never be distributed to others without your permission.  Fields marked with an "*" are required.

First Name: *
Last Name: *
Company: *
Job Title:
Address 1:
Address 2:
City:
State/Province:
Postal Code:
Country:
Telephone: *
Fax:
E-mail: *
Tax ID:
Reseller Number:
Login Name: *
Password: *
Confirm Password: *