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First and Last Name *
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Email Address *
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Phone Number *
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Are you signing up as a brand or retailer? *
What is your store or brand name? *
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How many locations do you have? Write N/A if not applicable *
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State of Location(s) *
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How many sku's do you sell? *
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Do all of your products have lab results? *
Do you currently sell CBD flower? *
What point of sale system do you currently use? Write N/A if not applicable *
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