Primary Contact
*
First Name
Last Name
Upcoming Events:
*
Out The Trap Day on 3/20 @ 11am-1pm (South Wing Steps)
Out The Trap Day House Recognition at 10am (House Chambers)
CARE For Georgia Day 4/20
Let us know your plans:
*
I am attending
I am not attending event, but would like info on future meetings and events.
I would like to register my organization as a partner.
Im interested in volunteering and lending a hand.
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How did you hear about CARE?
*
Social Media
Friend / Referral
Community Organization
Church / Faith Leader
School / University
Media / News
Other
Event
I am: (Check All That Apply)
*
A Georgia resident interested in Medical Cannabis/Hemp Program
A Community Partner/Organization
A Potential Sponsor
A concerned citizen that would like more information on Georgia's proposed legislation on hemp and/or medical cannabis laws
Government Official
A Registered Medical Cannabis Patient
A United States Veteran
A United States Disabled Veteran
A Registered Medical Cannabis Caregiver
Un-Registered Patient that may qualify for 1 of 17 qualifying conditions approved by the State of Georgia
Un-Registered Caregiver that cares for a patient that may qualify for 1 of 17 qualifying conditions approved by the State of Georgia
Business/Vendor/Brand wanting more information
Media/Reporter/Blogger
Other
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Your Instagram Handle
Follow Us @CAREforGa | We follow back!!
Mobile Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Interested Sector
*
Please Select
Cannabis
Hemp
Cannabis & Hemp
Additional Notes,Comments, Questions, and/or Concern: "Feel Free" to plug your business, brand, organization, or "where you from"!!
The only way we know is if you tell us!!
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