Aery Group® Prospective Member Form

Prospective Member Information:

Name of Business*

Type of Business*

First Name of Contact Person*

Last Name of Contact Person*

Phone Number of Contact Person*

Area CodePhone Number

E-mail Address for Contact Person*

Role at the Company*

Federal EIN*

Business Address*

Street Address

Suite No.

CityState

Zip Code

Contact Preference *

Principal Owners*

Please use comma to separate multiple owners.

Business Website

How did you hear about Aery Group™?

Please verify that you are not a robot.*

*Ancillary businesses are defined as a non-cannabis touching business that's primary source of revenue is derived from knowingly supporting cannabis growing, processing, and sales. These businesses include, but are not limited to; hydroponics and cultivation products, lighting, packaging and warnings, security services and equipment, technology and software, banking and payment processing, insurance, paraphernalia (cannabis delivery systems), and professional training and education.

Please be aware that submitting this form does not guarantee that an account will be opened. The application process includes a vetting requirement that each CRB must pass.

For more information, email us at memberservice@aerygroup.org and we can set up an appointment to discuss your banking needs.

Click here to view the documents required during application vetting process.