Apply for Membership

If you have already provided your info over the phone and just need to submit your Identification and Recommendation, click here.

To get started you’ll need your physicians prescription document and your government issued photo identification card (CA Drivers License or ID, Passport, etc.). Please complete the fields below with the information on those documents and we will respond to your inquiry promptly. Once we have verified your information we will contact you to answer any questions and setup your first delivery!

Please call us with any questions at 619-663-6337

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Password*
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Member Information
Name (First Middle, Last)*
First Last
Address Information*
Street Address City State ZIP Code
Phone*
CA Drivers License or ID #*
CA ID/DL Expiration Date*
MM
DD
YYYY
Physician Information
MMJ Recommendation ID #*
MMJ Recommendation Expiration Date*
MM
DD
YYYY
Physician/Doctor Name*
Physician/Doctor Phone #*
Physician/Verification Website*
File Upload - MMJ Doctors Recommendation
File Upload - California Identification
How did you hear about us?
By clicking the "I Agree" Boxes and printing your name you agree you have read and accept our membership and medical disclosure agreements.*
- I have read and agree to the Membership Agreement and Medical Disclosure Agreement.
Digitial Signature*
Email
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Member Information

Physician Information

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