To purchase products which contain regulated chemicals, the U.S. government requires that the customer register with the merchant, Hawthorne, before purchasing. Your registration will then remain on file with Hawthorne and needs to be updated when you have a change of address.

1. You must state the products you would like to purchase and what you will use them for (see form below) 
2. You must also fax us a copy of 2 legal ID’s: One ID must be a Valid Driver’s License. The second form of ID must contain the same name and address as the driver’s license and can be a recent Utility Bill, Passport, Insurance Card, Vehicle Registration, or Gun Permit.

For any additional questions, please write them in the comment box below, call us at 765-768-6585, or Fax us at (765) 768-7672.

Once Hawthorne-Products receives the completed form and required copies of ID’s, a representative will email you or call to confirm your registration to purchase regulated chemicals. View the DEA’s website on regulated chemicals at

http://http://www.deadiversion.usdoj.gov/21cfr or http://www.deadiversion.usdoj.gov/21cfr/cfr/1310/1310_07.htm

Hawthorne sells the following regulated products with greater than 2.2% iodine: Hoof Freeze, Docs Leg Paint, 16.5% iodine, 7% iodine, & Hot Nail.

To expedite the process, please fill out the form below:
*= required fields

Name (as it appears on your driver's license):*
Company Name:
Street Adddress:*
City:*
State:*
Zip Code:*
Phone #:*
Email Address:*
Have you faxed or mailed two forms of legal ID to Hawthorne?	NoYes
Product #1:
How will you use Product #1:
Product #2:
How will you use Product #2:
Product #3:
How will you use Product #3:
Product #4:
How will you use Product #4:
Product #5:
How will you use Product #5:
Additional Comments, Information or Questions:
Enter the text you see to the right: