PATIENT MEMBERS ONLY
ORDER FORM

Get the Medical Marijuana you need without leaving the comfort of your own home. That’s right, we deliver 10am to 10pm daily. For special cases we can deliver after hours, which may require an additional donation.

PATIENT NAME:
EMAIL:
ADDRESS:
CITY:
ZIP CODE:
(5 digits)
TELEPHONE NUMBER:
 
TELEPHONE NUMBER:
ORDER REQUEST NAME OF STRAIN:
QUANTITY (WEIGHT):
COMMENTS and/or
SPECIAL INSTRUCTIONS:
 

9.5 % WASHINGTON STATE SALES TAX APPLIES
First Time Users

If it’s your first time using our service, we’ll help you get set up quickly. Simply fill out our online MEMBERSHIP REGISTRATION.

We’ll verify this information and email back to take your order. Please also have a photocopy of your doctors recommendation and drivers license for our driver.

*Expired recommendations are not valid and will be instantly declined membership.

Any Questions?

Be sure to check out our RULES AND REGULATIONS to find our policies. As always, feel free to send us an email. Please note: Minimum delivery is 1/8 of an ounce and maximum delivery is one ounce.

Learn a little more about us and our wide range of Medical Marijuana products.

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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