INDIGO ORDER FORM
If this is your first time ordering from INDIGO, Please EMAIL a copy of your Recommendation and State ID to ALOHAINDIGO@GMAIL.COM. By submitting this form you are agreeing that you are qualified medical cannabis patient with valid medical recommendation and that you have chosen INDIGO to be your medical cannabis provider.

If you would like to place a phone order, please give us a call at 888-669-9558.

Email address
NAME (first and last)
Your answer
PHONE NUMBER
Your answer
CAN YOU RECEIVE TEXTS ON THAT NUMBER?
STREET ADDRESS
Your answer
CITY
Your answer
ZIP CODE
Your answer
Date of Birth
MM
/
DD
/
YYYY
WHAT WOULD YOU LIKE TO ORDER?
Your answer
WHAT DAY WOULD YOU LIKE IT DELIVERED? (Save 10% off your order if you schedule a day in advance.)
MM
/
DD
/
YYYY
What time would you like to accept delivery?
What is your $ order total? (Our minimum order is $100. INDIGO team will double check your calculations. )
Your answer
Other Notes/Issues/Questions
Your answer
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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