Account Registration Form

If you are an existing customer, you should not need to create a new account. Please check your email to set up a new password, or click here to resend the password reset email.

Registration Form

"*" indicates required fields

1Basic Info

2Delivery & Account Type

3Activate Account

First Name (as appears on ID)*

Last Name (as appears on ID)*

Nickname

Email*

Enter Email Confirm Email

Phone*

Birthday*

Must be 21+ or 18+ with medical recommendation

Address (required for delivery orders)*

Street Address City State ZIP Code

Only placing pickup orders and don't want to share your address? Click this button to use our store location as your default address:

What type of Account would you like to create?*

Adult Use (21+ recreational)

Medical Use (18+ with medical recommendation)

Please upload your government-issued ID below*

Accepted file types: jpeg, jpg, png, doc, pdf, Max. file size: 3 MB.

DL / ID Number*

DL / ID Expiration*

Please upload your medical recommendation document*

Accepted file types: jpeg, jpg, png, doc, pdf, Max. file size: 3 MB.

Recommendation Expiry*

Do you have a state-issued MMIC?

Please upload your county-issued MMIC below*

Accepted file types: jpeg, jpg, png, doc, pdf, Max. file size: 3 MB.

State Medical ID*

Account Registration Form

Registration Form

Contact & Hours

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