State Licensing Questionnaire
This form will help me gather data necessary for the State licensing applications. Remember, if you do not have a local permit or some kind of local authorization you will not be able to obtain a State License.
What State License Type Do You Need?
Manufacturing (extraction and/or edibles)
Delivery Service (Non-Storefront Retailer)
Designated Responsible Party information (a DRP is required for each application. This is the person the State will contact and mostly communicate with regarding the application details). Please include Name, Title, Phone, E-Mail & Mailing Address:
Business Address (where will cannabis activity take place):
Do you rent or own the property?
Local Authority Type (which gave you local permit):
What is the estimated annual revenue for the business?
Less than what's listed
$500k - $1 Million
$1 Million - $1.5 Million
$1.5 Million - $3 Million
More than $3 Million
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