MMI Apothecary Patient Verification/Membership Form

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State: CA

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INDICA, SATIVA, HYBRID

Please Select A Strain Select A Strain Wizard Og (I) Super Skywalker Og (I) Snow White Kush (I) Liquid Coke Og (I) Girl Scout Cookies (I) Jack Herrer (S) Albino Rhino (S) White Widow (S) Sticky Icky (H/s) Lambsbread (H/s) None
Quantity Select Quantity 1 gram 1/8 oz 1/4 oz 1/2 oz 1 oz None

Please Select A Strain Select A Strain Wizard Og (I) Super Skywalker Og (I) Snow White Kush (I) Liquid Coke Og (I) Girl Scout Cookies (I) Jack Herrer (S) Albino Rhino (S) White Widow (S) Sticky Icky (H/s) Lambsbread (H/s) None
Quantity Select Quantity 1 gram 1/8 oz 1/4 oz 1/2 oz 1 oz None

Please Select A Strain Select A Strain Wizard Og (I) Super Skywalker Og (I) Snow White Kush (I) Liquid Coke Og (I) Girl Scout Cookies (I) Jack Herrer (S) Albino Rhino (S) White Widow (S) Sticky Icky (H/s) Lambsbread (H/s) None
Quantity Select Quantity 1 gram 1/8 oz 1/4 oz 1/2 oz 1 oz None

Please Select A Strain Select A Strain Wizard Og (I) Super Skywalker Og (I) Snow White Kush (I) Liquid Coke Og (I) Girl Scout Cookies (I) Jack Herrer (S) Albino Rhino (S) White Widow (S) Sticky Icky (H/s) Lambsbread (H/s) None
Quantity Select Quantity 1 gram 1/8 oz 1/4 oz 1/2 oz 1 oz None

Please Select A Strain Select A Strain Wizard Og (I) Super Skywalker Og (I) Snow White Kush (I) Liquid Coke Og (I) Girl Scout Cookies (I) Jack Herrer (S) Albino Rhino (S) White Widow (S) Sticky Icky (H/s) Lambsbread (H/s) None
Quantity Select Quantity 1 gram 1/8 oz 1/4 oz 1/2 oz 1 oz None

Please Note: Hash/Melt donation amounts do not include $10 delivery charge.
If ordering with an 1/8th oz. or more of medication, delivery fee is waived.
If ordering 1.5 grams or more, delivery charge is waived.

Please Select A Strain Select A Strain Currently Out of Stock None Select Quantity: Select Quantity .5 grams @ $20 Donation 1 gram @ $30 Donation 1.5 grams @ $45 Donation 2 grams @ $60 Donation 3 gram @ $90 Donation 4 grams @ $120 Donation 5 grams @ $180 Donation None

Please Note: Pre-Roll donation amounts do not include $10 delivery charge. If ordering with an 1/8th oz. or more of medication, delivery fee is waived. If ordering 5 or more pre-rolls, delivery fee is waived.

Please Note: A minimum order of 5 Edibles is required for free delivery. If ordered with an 1/8th oz. or above of Medication, delivery fee is waived. Otherwise a $10 delivery charge will be added.

Please Select A Hubby's Flavor Select A Flavor Milk Chocolate Milk Chocolate Crunch Milk chocolate Toffee Peanut Butter Chocolate Peanut Butter Crunch Dark Chocolate Cookies & Creme White Chocolate White Chocolate Crunch None
Quantity Select Quantity 1 @ $10 Donation 2 @ $20 Donation 3 @ $30 Donation 4 @ $40 Donation 5 @ $50 Donation None

Please Select A Hubby's Flavor Select A Flavor Milk Chocolate Milk Chocolate Crunch Milk chocolate Toffee Peanut Butter Chocolate Peanut Butter Crunch Dark Chocolate Cookies & Creme White Chocolate White Chocolate Crunch None
Quantity Select Quantity 1 @ $10 Donation 2 @ $20 Donation 3 @ $30 Donation 4 @ $40 Donation 5 @ $50 Donation None

Brownies: Select Quantity 1 @ $10 Donation 2 @ $20 Donation 3 @ $30 Donation 4 @ $40 Donation 5 @ $50 Donation None

Rkt Candy Drops: Select Quantity 1 @ $3 Donation 2 @ $5 Donation None

Rkt Jolly Ranchers Style: Select Quantity 1 @ $5 Donation 2 @ $10 Donation None

Gold Caps 25mg (THC Pills) : Select Quantity 1 @ $9 Donation 2 @ $18 Donation 3 @ $27 Donation 4 @ $36 Donation 5 @ $45 Donation None

Gold Caps 10mg (THC Pills) : Select Quantity 1 @ $7 Donation 2 @ $14 Donation 3 @ $21 Donation 4 @ $28 Donation 5 @ $35 Donation None

Cake Pop (Chocolate) Strength-X2 Select Quantity 1 @ $15 Donation 2 @ $30 Donation 3 @ $45 Donation 4 @ $60 Donation 5 @ $75 Donation None

Cake Pop (Carrot Cake) Strength-X1 Select Quantity 1 @ $10 Donation 2 @ $20 Donation 3 @ $30 Donation 4 @ $40 Donation 5 @ $50 Donation None

Please Note: Delivery of clones is typically 5-14 days after the order is placed. We will notify you of the approximate delivery time when your order is confirmed. Buy 11 clones and get the 12th clone free.

Call For Available Clones: Select Quantity 1 Clone @ $20 Donation 2 Clones @ $40 Donation 3 Clones @ $60 Donation 4 Clones @ $80 Donation 5 Clones @ $100 Donation 6 Clones @ $105 Donation None

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