Register with us by filling out the form below.

First Name*

Last Name*

Date of Birth*

Phone number*

State / Province*

Street Address*

City*

Postcode / Zip*

We are required to verify your age and identity in order to deliver legal marijuana to you. Please submit of one of the following documents: (1) Valid driver’s license Valid government-issued ID (2) Upload Driver’s license or (3) passport or (4) Valid government-issued ID*

Selfie

User Email*

Password*