Private Member Take On Form

Private Member Take on Form

Join the CLUB
Use this form to APPLY for membership at your local, THEE LEAF associated, Cannabis Club. Your application will be REVIEWED by the Club's COMMITTEE and, if APPROVED, you are required to submit an ID COPY, SELFIE PHOTO and SIGNATURE, as well as pay your initial MEMBERSHIP FEE, to become a Member.
Email*
example@example.com
ID Number*
Date Signed Up*

MonthDayYear
Date
Which Club do you want to sign up at*

Thee Leaf Kyalami Corner
Once harvested and cured, cannabis is STORED at the Club in a PRIVATE LEASED storage space. OWNER MEMBERS share their cannabis with compliant SHARING MEMBERS; whom REIMBURSE the total costs associated with the cultivation-, processing-, storage-, administration and contracts facilitation of the OWNER Member's cannabis. Storage, Sharing and Reimbursements are managed by the club and Thee Leaf facilitates the STORAGE LEASE agreement as well as the SHARING agreement.*

TrueFalse
How often do you use Cannabis products?*

NeverOnce or twice a yearOnce or Twice a MonthOnce or Twice a weekMany Times a WeekEvery DayMany Times a day
Do you consume Joints/Pre Rolls?*

NeverOnce or twice a yearOnce or Twice a MonthOnce or Twice a weekMany Times a WeekEvery DayMany Times a day
Do you smoke pipes or bongs?*

NeverOnce or twice a yearOnce or Twice a MonthOnce or Twice a weekMany Times a WeekEvery DayMany Times a day
Do you DAB?*

NeverOnce or twice a yearOnce or Twice a MonthOnce or Twice a weekMany Times a WeekEvery DayMany Times a day
Do you Vape?*

NeverOnce or twice a yearOnce or Twice a MonthOnce or Twice a weekMany Times a WeekEvery DayMany Times a day
Do you eat / drink edibles?*

NeverOnce or twice a yearOnce or Twice a MonthOnce or Twice a weekMany Times a WeekEvery DayMany Times a day
Do you use Oil / Tinctures?*

NeverOnce or twice a yearOnce or Twice a MonthOnce or Twice a weekMany Times a WeekEvery DayMany Times a day
Do you use Cannabis Cosmetics?*

NeverOnce or twice a yearOnce or Twice a MonthOnce or Twice a weekMany Times a WeekEvery DayMany Times a day
HOW MUCH dried CANNABIS, in GRAMS, do you require PER MONTH from THE CLUB. NOT necessarily your TOTAL CONSUMPTION.*
HOW MUCH cannabis EXTRACT, in GRAMS, do you require PER MONTH from THE CLUB. NOT necessarily your TOTAL CONSUMPTION.*
Please select your preferred cultivation method.*

OutdoorGreenhouseIndoorHydro
Member Details

Please enter all of your personal information as it appears on your ID document.
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
UPLOAD ID DOCUMENT*

Cancelof
UPLOAD SELFIE*

Cancelof
I hereby apply to become a Member of the Club and if admitted, I agree to abide by the Constitution, Rules and Regulations and Code of Conduct of the Club. After review of your application your Club committee will either approve or reject your application. If accepted by the Club, Thee LEAF will facilitate the MAIN AGREEMENT between yourself, The Club and Thee Leaf enabling Thee Leaf to use your details to facilitate all of the other agreements, as set out above, between yourself, The Club, Cultivating- and Processing Members.*

Yes, I want to apply
I, the undersigned, agree to the following terms and conditions:1. I understand that membership in the Private Members Club is exclusive and limited to a select group of individuals.2. I agree to abide by the rules, regulations, and bylaws of the Club, as well as any additional guidelines established by the Club.3. I understand that my membership is non-transferable and non-refundable.4. I agree to pay all membership dues and fees in a timely manner. Failure to do so may result in suspension or termination of my membership.5. I acknowledge that the Club reserves the right to deny or revoke membership at its discretion, and I agree to respect the decisions made by the Club in this regard.I have read and understood the terms and conditions outlined in this Membership Agreement. By signing below, I agree to become a member of the Private Members Club and to abide by the rules and regulations of the Club.
Signature (Draw The Signature)*

Clear

My Products*

Yearly Private members Subscription Product Image

Yearly Private members Subscription 1 Year Subscription

50.00ZAR one-time payment

Enter coupon

Should be Empty:

Private Member Take on Form

Member Details