DROP-OFF REQUEST FORM
*In order to bring in cannabis yourself you, or the distributor you've hired, must have a valid CA Distribution or Distribution (Transport Only) license. Please enter the information for the person or company that will be transporting the products.

Once this intake form is complete and we have verified your license # you will be invited to schedule a drop-off.

Thanks!
HSGG Farm ID # (if Applicable)
Your answer
Business Name *
Your answer
Licensed Address (Line 1) *
Your answer
Licensed Address (City, State, ZIP) *
Your answer
Contact Name *
Your answer
Phone number
Your answer
License # *
Your answer
License Type *
Your answer
License Expiration Date *
MM
/
DD
/
YYYY
Requested Drop-Off Date *
MM
/
DD
/
YYYY
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