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Order Form CBD
Multiple patients or group orders are allowed.
Each patient must submit certification.
8 ounces maximum per order.
Want lower costs and more selection?
Medical Cannabis Certification
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Submit medical cannabis certification.
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Name
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First
Last
Phone
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Hemp Extract
CBD
Alcohol-based
1800mg
1 ounce $95.00
2 ounces $175.00
4 ounces $320.00
8 ounces $605.00
63.8% alcohol
CBD
Coconut-based
1000mg
1 ounce $95.00
2 ounces $175.00
4 ounces $320.00
8 ounces $605.00
CBD
Honey-based
1000mg
1 ounce $95.00
2 ounces $175.00
4 ounces $320.00
8 ounces $605.00
All orders must be paid in full in advance.
Depending upon your location, delivery time varies from 2, up to 5 days, in extreme cases, or delays from extreme weather conditions.
Street Address:
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City:
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Verify your state
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Alabama
Georgia
Idaho
Indiana
Iowa
Kansas
Kentucky
Nebraska
North Carollina
South Carolina
Tennessee
Texas
Wisconsin
Wyoming
Zip Code:
*
TOTAL Order Weight:
*
1 gram to 1.95 ounces ($35.00)
2 ounces to 4 ounces ($45.00)
4+ ounces to 8 ounces ($55.00)
Total weight
PAYMENT SECTION
Select your preferred method of payment.
Processing:
Select Payment method:
*
CASH ($0) AT YOUR OWN RISK
CashApp ($15)
Chase Bank money order ($10)
Wells Fargo money order ($20)
*US Postal money order ($30)
*USPS money order may delay delivery up to 2 days.
They can be difficult to cash.
