MEDICAL SIGN UP


SHOPPING MADE SIMPLE:

In order to abide by California state law, all orders must be placed after only two steps.

  1. Please agree to the terms and conditions and register with your legal medical information here.

  2. Once you are done, you may create a Winners Collective online store account.

  3. For now, simply phone in an order by dialing 877-764-1727!

IMPORTANT:

Any order submitted without full registration will be automatically cancelled.

Member Registration and Agreement

Please read the terms and conditions before submitting the form below.

TERMS AND CONDITIONS
Form submitted successfully.
Please provide the required field.

Please make sure we can see letters/numbers! (JPG, PNG, GIF, files)

Please provide the required field.
Drag files here or

I declare under penalty of perjury that the information provided on this membership guidelines agreement is true and correct.I further declare under penalty of perjury that I am a medical cannabis patient and will not divert my medicine for non-medical use or for use by a nonmember.I further declare under penalty of perjury that I am not a member of law enforcement and will not divert any medicine for the purpose of any criminal investigations.I have read and understand the above requirements and agree to follow these guidelines.I acknowledge that I have been offered the ability to review a copy of the Articles of Incorporation, Bylaws, and Member Guidelines.Additionally,I hereby authorize the release of my medical information concerning my diagnosis,condition or prognosis to the Collective and its authorized representatives for purposes of verification.

Please provide the required field.