Sample Customer Registration Form
Fill Out This Form, and Receive the Sample Link, So You Can Try Before You Buy. The Sample is FREE you just need to pay $3.50 for shipping and handling. When You submit your request form, you will receive a link that you can use to select your sample. Must be 21 No more than 1 sample per customer.
How Did You Hear About This Sample Opportunity?
Full Name
*
First Name
Last Name
Where should we send your sample?
*
Mailing Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
Confirmation Email
example@example.com
How did you hear about us?
*
Please Select
Facebook
Instagram
TikTok
Social Event
A Friend
Please Specify
*
Feedback about us:
Suggestions if any for further improvement:
Will you be willing to recommend us?
Yes
No
Maybe
Who else would like a D9/THC Legal Sample or non-THC Sample?:
Full Name
Address
Contact Number
1
2
Submit
Should be Empty: