[av_textblock size=” av-medium-font-size=” av-small-font-size=” av-mini-font-size=” font_color=” color=” id=” custom_class=” av_uid=’av-knh2r00v’ admin_preview_bg=”]
Membership is for Canadians only.
This form is just to create an account and confirm you are an adult.
This basic membership will allow you to purchase microdoses of mushrooms.
Please fill out this form, upload the required documents and submit.
Fields marked with a star * are mandatory.
Document attachments must be:
jpg/jpeg, gif, png, doc or pdf formats only.
Files must be under 60 MB in size.
Got images bigger than 60 MB? Try this free online image resizing app.
We will reply to you by email within 1-2 business days.
If you’re having trouble with the online form, please just email us the same information and documents to [email protected].
NOTE ON PRIVACY:
• We only require photo ID to confirm your identity. We will delete the image of your ID once confirmed.
• All member information is private and will never be shared with anyone.
BASIC MEMBERSHIP APPLICATION FORM
[/av_textblock]