Before signing up, please check out our delivery zone and order minimums map here.
If you want to get a valid CA doctor’s recommendation (medical card),
get evaluated online with NuggMD by clicking here!

Membership Application

Name

Delivery Address

Phone

Email

Date Of Birth

DL/ID Upload Upload photo of Government Issued Photo Identification.

DL/ID #

DL/ID Expiration Date

Recommendation Upload *Only necessary if you are a medical user.

Recommendation / Patient # *Only necessary if you are a medical user.

Verification Website *Only necessary if you are a medical user.

Physician's Name *Only necessary if you are a medical user.

Physician's License # *Only necessary if you are a medical user.

How did you hear about us? * If you choose 'Friend' or 'Other', please tell us who/how below!

Friend Other Tell us who referred you!

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