PATIENT MEMBER REGISTRATION Please complete the following patient information to become a member.

First Name:
Last Name:
Address Street 1:
City:
Zip Code:
(5 digits)
State:
Daytime Phone:
Email:
Drivers License #:
Clinic Name:
Doctor Name:
Clinic Phone #:
Patient ID # issued:
Recommendation Issued:
Recommendation Expires:
Comments:
 

Learning and understanding the regulation policies can help you avoid unintentionally breaking the rules and
keeps everyone working together as a reliable and trustworthy member network.

You must have a recommendation in the state of Washington. For a list of appropriate disease, condition or disorder that allows for the use of Medical Marijuana and other questions, please visit Washington State Department of Health

Please present your Washington State Driver License, Washington State ID, other Washington State-issued ID card or Federally Issued ID Card (Military, Geneva convention government I.D, Bureau of Indian Affairs, Permanent Resident Card), valid and current Medical Marijuana Card , to us every time you obtain Medical Cannabis from HUMANITY COLLECTIVE.

You must be at least 21 years of age to become a member of HUMANITY COLLECTIVE. Only a medical condition exception to this rule, will be determined by our Co-op director.

Telephone calls from blocked numbers are prohibited and will not be answered. You can always leave a message and number and we will contact you back ASAP.

Use of any street slang terms ( i.e. trees, dank, rope, endo, fire, weed, nugs, dro, chrony, sticky, grass, purps….) in telephone conversations, e-mails, and/or in the presence of our staff is prohibited and may result in denial of services, this is pharmaceutical medical cannabis and should be considered as a serious medicine .

To enhance the safety and security of our couriers and members, we strongly suggest donations be processed online with your VISA, MASTERCARD, DISCOVER, OR AMEX Card , thus minimizing the chance for any criminal activity and ensuring a safe transaction environment for both you and our couriers. Orders cannot be changed once the couriers has been dispatched, they will only have your specific order quantity. If C.O.D, order, please try to have exact amount ready, couriers do not carry any change..

PLEASE BE READY AND AVAILABLE

Please be at your destination to receive your order when you are expecting arrival of our courier. Expect a courtesy call close to delivery time to verify that you are available. If you are not available at your appointment time, then please call or email us to let us know. HUMANITY will do the same for you

All medication is for personal use only. Resale, sharing or redistribution of any medication obtained from HUMANITY COLLECTIVE is strictly prohibited. Any indication to the contrary will result in immediate expulsion and termination of your collective membership privileges.

We strongly recommend not driving under-the-influence of any substance that may impair your motor skills. including Medical Cannabis. We also recommend and do not condone medicating in public or in the presence of minors.

Please refrain from telephone conversations while our courier is at your location. Be respectful of your neighbors, as we are.

Direct additional questions via email to: humanitycollective206@gmail.com

HUMANITY COLLECTIVE DELIVERS TOP SHELF QUALITY MEDICINE TO OUR PATIENTS AT AFFORDABLE
DONATION RATES, SERVICING THE GREATER PUGET SOUND AREA. TO JOIN SIMPLY GO TO OUR
MEMBERSHIP REGISTRATION PAGE TO JOIN.

WASHINGTON STATE SALES TAX DOES APPLY
 

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