Sample Product Order Form

Name*

First NameLast Name

Phone Number*

Area CodePhone Number

Email Address*

example@example.com

Step One: Select 1 Item*

Mushroom (proceed to Step 2)Gummy (proceed to Step 3)Mini Pre-Roll (proceed to Step 3)Pain Relief Balm (proceed to Step 3)

Step 2: Micro.Dose. (1 Capsule) (then proceed to Step 3)

Step 3 Do you agree to the Terms and Conditions?*

Yes, I agree to the Terms (proceed to Submit Button)

TERMS: I affirm that I am 21 years of age or older. I agree to USE SAMPLE PRODUCT SAFELY AND RESPONSIBLY.

Products are in compliant with the 2018 Federal Farm Bill. By weight, products contains less than 0.3% hemp-derived delta 9 THC.

NOTE: Must be present at the event to receive sample product.