General Kush Check™ Shopper Database Signup
First and Last Name *
City *
State *
Zip Code *
E-mail Address *
Cell Phone Number
Choose One
Clear selection
How old are you? *
We shop retail cannabis stores and you must be 21 or older to do so. If you are not 21 years old, you cannot signup to our database.
Date of Birth *
MM
/
DD
/
YYYY
How often do you shop at a Cannabis store? *
Please list the names and locations of any Cannabis stores you have shopped in *
Include recreational or medical dispensaries you've shopped at.
What is your favorite Cannabis store from the list you entered above? *
Have you ever completed any kind of mystery shop before? *
Selecting no will not disqualify you from completing Kush Checks™
Do you currently work for a Cannabis company, brand or retail store? *
Any questions or comments?
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