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Qualifying Questionnaire
This should take approximately 2 to 3 minutes to complete.
Get started by providing us with some information about your facility to make sure you qualify.
Please note: This opportunity is only valid for licensed, commercial facilities, operating legally within your geographic region.
*Your info is safe with us - we never share or sell any info we receive. Because we wouldn't like that either.
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* Indicates required question
Company / License Name:
*
Your answer
Your First & Last Name:
*
Your answer
Email
*
Your answer
Phone:
*
Your answer
My preferred method of initial contact is:
*
Call me
Text me (please ensure the number you provided is a cell phone)
Email me
Required
Operation type: (select all that apply)
*
Cultivation
Manufacturing / Processing
Retail
Vertical
Other:
Required
Size of your operation:
*
Your answer
Geographic location: (US state / Country / Province / etc.)
*
Your answer
By checking the boxes below, I agree to the following statements:
*
I certify that I am a legal licensed entity, operating legally in my geographic area.
I agree to disclose information related to any complaints, violations, and requests to cure from my governing regulatory entity prior to commitment.
I agree to disclose any critical incidents that have occurred in my operation. (Eg: Robbery, theft, security failure, power failure, crop failure, product recall, etc.)
Required
Please click below to submit your responses. We look forward to connecting with you!
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