FARM ONBOARDING
BUSINESS NAME
*
DBA
Who at HSR did you speak to about placing an order?
*
CONTACT
*
First Name
Last Name
PHONE NUMBER
*
-
Area Code
Phone Number
EMAIL
*
example@example.com
DELIVERY ADDRESS
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
DELIVERY DAY CONTACT
First Name
Last Name
PHONE NUMBER
-
Area Code
Phone Number
DESIRED STRAINS
If you have desired strains please let us know.
DELIVERY OPTIONS *You will be sent another form if you chose any pick-up option
*
Delivery by Humboldt Sacred Roots Nursery
Pick up with farm transport license
Pick up with business distribution license
Pick up by 3rd Part Distribution
DIRECTIONS TO DELIVERY
EIN #
*
CA CANNABIS CULTIVATION LICENSE
*
Browse Files
Please upload all cultivation licenses to be used.
Cancel
of
CA SELLERS PERMIT
*
Browse Files
Cancel
of
Submit
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