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Cannabis Banking

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Root Sciences

Cosmic Edibles

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Submit the form below to get your listing pre-registered.

Vendor Name:	*
License Number:
Contact Name:
Email Address:
Contact Phone:
Website Address:
Twitter Link:
Facebook Page:
Instagram Page:
WeedMaps URL:
Pinterest Link:
Stumble Link:
City:
State:*
Types of Edibles: i.e. cookies, brownies, etc.
Dispensary Locations: (separate by commas)
Edibles Made of:	Canna Butter THC Oil Tincture Hash Oil Canna Olive Oil THC Veggie Oil Canna Coconut Oil Canna Coconut Butter Alcohol Based Tincture Glycerin Based Tincture BHO (Butane Hash Oil) C02 Concentrate Other Extract Other:
Strain(s) Used:	Sativa Indica CBD Strain Hybrid / Mix
Strain Names: (separate by commas)
Made With:	Trim Buds Both
Do you test potency:	yes no
If so, enter dosage:
Delivery Available:	yes no
Organic?:	yes no
Non-GMO?:	yes no
Gluten-Free?:	yes no
Sugar-Free?:	yes no
Peanut-Free?:	yes no
Raw?:	yes no
Vegan / Vegetarian?:	Vegan Vegetarian
Kosher?:	yes no
High CBD?:	yes no
Nutritional Facts?:	yes no
Certified Kitchen:	yes no
Recommended For:	Chronic Pain Insomnia Depression Daytime Medicating Stress Relief Mood Stabilization Nausea Other Other:
About Your Business:
Additional Info:

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