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Dispensary Sign-Up

Interested in purchasing from the Kind House catalog? Sign up now! An account representative will contact you shortly. Licensed dispensaries only.

This is the common name of your store or the name your customers know.
This is the name exactly as it appears on your license from the Bureau of Cannabis Control.
Please upload a copy of your state license.
Upload requirements
  • One file only.
  • 8 MB limit.
  • Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods, png, jpg, gif.
Address of Licensed Premises
Please include anything else we should know such as the name of your sales rep or special delivery instructions.

Buyer Contact

This is the person who will place orders.

Contact Info: Purchaser

AP Contact

This is the person who handles payments and accounts payable.

Contact Info: Accounts Payable

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Include My Company
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Bureau of Cannabis Control | License: C11-0000937-LIC