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Register for Poppy Swap
User ID and Password
Username (required)
Email Address (required)
Confirm Email (required)
   A confirmation email will be sent for verification.
Password (required)
Confirm password (required)
 Password Limit: 15 characters (Case Sensitive).
 
Personal Information
First Name (required)
Last Name (required)
Company
Address (required)
Address
City (required)
Country (required)
State/Province (required)
Zip (or Postal) Code (required)
Home Phone (required)
Work Phone
Promotional Emails I wish to receive poppy swap email offers.
Agreements (required) I agree to the terms and privacy policy.
Billing Information  
First Name (required)
Last Name (required)
Company
Address (required)
Address
City (required)
Country (required)
State/Province (required)
Zip (or Postal) Code (required)
Fax Phone
Credit Card Information    (required for sellers)
Card Number
(Numbers Only)
Expiration Date
(MM/YYYY Format)
Card Type
Security Code
(This number is the last 3 or 4 digits AFTER the credit card
number printed in the signature area of the back of the card.)

If supplying credit card information, all credit card fields are required.

 

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