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Onboarding Form
Date
*
Dispensary Name
*
Legal Business Name (if using a DBA)
Address
*
Example:
420 Cannabis St
New York, NY 42020
Remittance Address (if different from above)
Example:
420 Cannabis St
New York, NY 42020
Primary Contact
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Primary Phone
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Primary Email
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Ordering/Manifest Contact
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Ordering/Manifest Phone
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Ordering/Manifest Email
*
Accounts Payable Contact
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Accounts Payable Phone
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Accounts Payable Email
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Marketing Contact
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Marketing Email
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Website/Online Menu Contact
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Website/Online Menu Phone
*
Website/Online Menu Email
*
Dispensary Website
*
OCM License Number
*
File upload
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OCM License
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