MMJ Service Provider Application

Being part of the Connect 2 Cannabis Directory…

 

Is not just a listing or profile on another website directory, moreover; an opportunity to show and tell the MMJ Community what your business has to offer to the growing numbers of millions of MMJ patients we have access to worldwide.

 

The Connect 2 Cannabis Directory is a comprehensive, straightforward and completely user-friendly public service listing of Medical Marijuana Service Providers with each supplying services and products under the state medical marijuana program in which they are legally registered.

 

Connect 2 Cannabis has developed and maintains this directory to assist worldwide patients in locating Medical Marijuana Service Providers by making available as much vital and thorough information as possible for each listing.

 

As a Basic Member, your general information will daily be viewed to millions of our users; However, as an Advance Member, your vital information and much, much more will be shared daily and brought to millions. 

 

For more information or questions, please feel free to contact us.



Thank you,

 

The C-2-C Team 


Please allow up to 24hrs to fully process
Select one (1):
Advance C-2-C Membership:
$50.00 each month. What do I get for this monthly service? Click About Us.
Basic C-2-C Membership:
(Free- Limited access)
Upload Location/Profile Photo:
MMJ Service Name:
Creating a password will allow you access to edit your profile.
(* indicates required fields)
*Email:
*Login Name:
*Create Password:
*Confirm Password:
*Address 1:
Address 2:
*City:
*Zip:
*State:
--Select State--
Alabama
Alaska
Amsterdam
Arizona
Arkansas
Australia
California
Canada
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinios
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Netherlands
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington D.C.
West Virginia
Wisconsin
Wyoming
County:
--Select County--
--Select County--
Contact Details
Hours of Operation:
Toll Free Phone:
- -
*Business Phone:
- -
Payments Accepted:
Are you affiliated with MMAPR? Learn more here.
Show MMAPR Logo in your Profile:
     
Your website will be posted on your profile and accessible to members
Website Address:

(example: www.connect2cannabis.com)
As an Advanced Member Dispensary, you will have the ability to list, update and inform your patients and the public of all existing and new strains, clones, edibles and products your service provides. You will also have the ability to provide more detailed information of your dispensary. This list will be generated and viewable on your profile immediately upon editing. Thank you.
Fax Number:
- -
Number of Patient Advisors:
Years of Service:
Do you have a Doctors referral program?
Will you accept Pre-ordered prescriptions / products via email?
Do you have preferred Lawyers through your Dispensary?
Do you offer License Documents?
Do you offer private dispensing rooms?
Do you provide a Patient Delivering Service?
Are you a Brick & Mortar location?
Do you have Handicap Access?
Please select a payment plan option from the below two choices. NOTE: The selected payment plan will automatically renew each month or each year unless written notification of cancellation.
Select Payment:   
Insert Credit Card payment and Billing Address information here:
(* indicates required fields)
*Card Type:
--Select--
AmEx
Discover
Mastercard
Visa
*Card Number:
*Security Code:
*Expiration Date:
month  
--Select--
01
02
03
04
05
06
07
08
09
10
11
12
year  
--Select--
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
Please enter your full name and address exactly as it appears with your billing account statement.
*Full Name:
Business Name:
*Address 1:
Address 2:
*City:
*Zip:
*State:
--Select State--
Alabama
Alaska
Amsterdam
Arizona
Arkansas
Australia
California
Canada
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinios
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Netherlands
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington D.C.
West Virginia
Wisconsin
Wyoming
  
We thank you for your listing. A receipt will be emailed to the email address you have provided within this application form. Please feel free to begin editing and viewing your profile upon the application submission.
Thank you,

The Connect-2-Cannabis Team
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