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Become a Member.

Membership has it's benefits.

A few collective guidelines for deliveries

We will try to be flexible as possible to accommodate busy schedules and will try to make our scheduled delivery window. If something comes up and you can’t make the delivery window, please call us as soon as possible so we can re-route and re-schedule.


For safety reasons drivers only carry small amounts of change

Drivers carry only small amounts of medicine.
Drivers check in with the office before and after all deliveries.
Drivers will call 911 if necessary.


Membership Registration Form

Printable registration form
or
Please complete the form below and click the Submit button at the bottom. We’ll reply as soon as possible.


Personal Data

NAME *


EMAIL ADDRESS

PHONE *

STREET ADDRESS *

CITY *

STATE *

ZIP *

DRIVER'S LICENSE OR ID NO.

DATE OF BIRTH

Doctor Data

RECOMMENDATION ID NUMBER

RECOMMENDATION ID EXPIRATION DATE

DOCTOR'S NAME

DOCTOR'S PHONE NUMBER

I have read and understand the Collective's rules and/r guidelines and consent to joining this Collective.
I certify under penalty of perjury that (1) the information provided is true and accurate, and (2) I am not seeking membership for fraudulent purposes.
I will not distribute medicine received here to any other person, nor use it for non-medical purposes.
I authorize my recommending physician to verify his/her recommendation or approval for use of medical cannabis (marijuana).

You will sign a hard copy on delivery.