Dispensary Sign-Up | Kind House Distribution

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

Dispensary Name

This is the common name of your store or the name your customers know.

Licensed Business Name

This is the name exactly as it appears on your license from the Bureau of Cannabis Control.

License Type

License Number

License Upload

Please upload a copy of your state license.
Upload requirements

Address

City/Town

State

ZIP/Postal Code

Additional Information

Please include anything else we should know such as special delivery instructions.

Buyer Contact

This is the person who will place orders.

Name

Phone

AP Contact

This is the person who handles payments and accounts payable.

Name

Phone

Help Customers Find You!

If you wish to be included in our public product locator, please provide the information below.

Include My Company

Yes! List my company publicly.

Keep my business information private.

Company Website

Please include the prefix, i.e. "http://".

Company Phone Number

Company Email (e.g. [email protected])