Please fill out all of the fields in this form to place an order for delivery. Once we have received the order a CannaRabbit employee will call to confirm with a delivery date and time, as well as provide driver details for the MED manifest.
Pick Up Name
Contact Name (pickup location)
Contact Phone Number (pickup location)
Contact Email Address (pickup location)
Contact Name (dropoff location)
Contact Phone Number (dropoff location)
Preferred Delivery Date/Time
Samples for testing lab
Amount (approx weight if over 1 pound)
Notes (please be specific and detailed)
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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