Partners, vendors, and buyers must submit the following form electronically in order for us to fulfill orders and transactions. Only one submission per Member is required per year or until expiration.


Your Name or Collective Name ("Member")

Entity Type: the organization affiliated with the Member.

Email Address

I understand and agree to the terms of the membership agreement.

Upload California Medical Marijuana Recommendation* (3 MB maximum size)

Upload ID* (3 MB maximum size)

All fields are required.