First Name *
Last Name *
User Name * You can log into Cottage Baker with either your email address or your user name. Your user name may consist of letters, numbers, spaces, and special characters.
Email *
Confirm Email *
Mobile Number While providing a mobile number is not required it can be very useful to receive text notifications when you receive an order. You can disable this feature in your Store Settings.
Shop Name * Important: This is the name that customers see when purchasing your products. Please choose carefully.
License Number
License Type Select Type CFO License Food Handler Certification Business License
License Expiration
Your Date of Birth (mm/dd/yyyy) *
Street *
City *
State *
Zipcode *
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