EmailMeForm
AP - Product Listing Form
List your product on our website.
Please submit one form, for each product to be listed on our website.
We will only consider medicine that is completely organic, free of mold, pests, pesticides and any foreign matter. MUST BE CLEAN !!
We do encourage and respond to patient feedback, for quality control.
You will receive a notice of any and all feedback, concerning your product/s.
Too many complaints may be cause for termination of your product listing.
Click above to read Policies & Protocol
Product offered:
1 product per form.
*
Select one
Concentrate
Edible
Flower
Rick Simpson Oil
Tincture
Other Product
Strain or Name?
*
Weight or count per Pack?
Dosage Each?
MG?
Asking Price?
*
$
Dollars
.
Cents
Additional Product Information.
Special Offers
or Quantity price breaks?
Product Photos:
*
Add File
A good photo, will increase response.
Email for orders to be sent to?
*
This email is where orders are sent.
Confirm
Listing Duration
*
30 days $35.00
60 days $50.00
90 days $85.00
180 days $125.00
1 year $200.00
Choose from any group below.
Hemp Group
13 States
ALL Hemp Group $15.00
Georgia $1.50
Idaho $1.50
Indiana $1.50
Iowa $1.50
Kansas $1.50
Kentucky $1.50
Nebraska $1.50
North Carolina $1.50
South Carolina $1.50
Tennessee $1.50
Texas $1.50
Wisconsin $1.50
Wyoming $1.50
Medical Group
10 States
ALL Medical Group $20.00
Alabama $2.50
Arkansas $2.50
Florida $2.50
New Hampshire $2.50
North Dakota $2.50
Oklahoma $2.50
Pennsylvania $2.50
South Dakota $2.50
Utah $2.50
West Virginia $2.50
Group Medical & Recreational
27 States & DC
ALL Group Med & Rec $115.00
Alaska $0.00
Arizona $5.00
California $5.00
Colorado $5.00
Connecticut $5.00
D.C. $5.00
Delaware $5.00
Hawaii $0.00
Illinois $5.00
Louisiana $5.00
Maine $5.00
Maryland $5.00
Massachusetts $5.00
Michigan $5.00
Minnesota $5.00
Mississippi $5.00
Missouri $5.00
Montana $5.00
Nevada $5.00
New Jersey $5.00
New Mexico $5.00
New York $5.00
Ohio $5.00
Oregon $5.00
Rhode Island $5.00
Vermont $5.00
Virginia $5.00
Washington $5.00
Zip Codes Serviced
if applicable
Seperate 5 digit zip codes with comma.
Payment Forms Accepted
List all Banks, financial Institutions or methods of payment you will accept.
The more options you offer, the greater the success.
Order Payment Methods you will accept?
*
BitCoin
CASH
CashApp
Chase Bank money order
US Postal Money Order
Wells Fargo Bank money order
Cashiers Checks & Money Orders
Other forms of payment that you will accept?
After you submit this form:
You will receive a verification email and invoice, requesting payment.
Once listing payment has been received:
Your product will be placed on our website menu, within 48 hours.
After placement on website, you will again receive a email with a, "Test Order Form", as if made by ordering patient. This is only to verify all information and settings are correct.
When orders for your product are made:
You recieve orders instantly to your email, containing all information listed below.
1. Patient Name
2. Delivery Address
3. Email Address
4. Product Ordered
5. Quantity Ordered
6. Total Cost $
7. Preferred payment method
8. Image of Medical Cannabis Rec. and / or Valid Photo ID
It is your responsibility to facilitate any further transaction.
Every Order Placed
The ordering patient receives an instant autoresponse copy of their order.
If you desire, we can add an autoresponse, that also includes your payment instructions.
Payment Instructions:
Address
Details
Needed information.
ETC.
This autoresponse also includes a request for the patient to include a copy of their order with their payment.