Customer Account Registration Registration form for customers to create account with Sespe Creek "*" indicates required fields 1Basic Info2Delivery & Account Type3Activate Account First Name (as appears on ID)*Last Name (as appears on ID)*NicknameEmail* Enter Email Confirm Email Phone*Birthday* YYYY slash MM slash DD Must be 21+ or 18+ with medical recommendation Address (required for delivery orders)* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific 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* YYYY dash MM dash DD Please upload your medical recommendation document*Accepted file types: jpeg, jpg, png, doc, pdf, Max. file size: 3 MB.Recommendation Expiry* YYYY dash MM dash DD Do you have a state-issued MMIC?YesNoPlease upload your county-issued MMIC below*Accepted file types: jpeg, jpg, png, doc, pdf, Max. file size: 3 MB.State Medical ID* Create new password* Enter Password Confirm Password Strength indicator Seniors automatically get a 5% discount, please select any others that apply to you Veteran (15% discount, must have ID, not valid for spouses) How did you hear about Us?*Select sourceWord of mouth / friendHotelYelpBooth at eventInstagramGoogleBillboardWeedmapsLeaflyWalking/driving byMagical Medicinal TourDoctor's OfficeAdvertisementI would like to receive updates from Sespe Creek on the latest news and promotions Subscribe to the Sespe Buzz This field is hidden when viewing the formmmidThis field is hidden when viewing the formLast UpdateEmailThis field is for validation purposes and should be left unchanged.
