Important Notice: We regret to inform everyone that MaryJanesBud.com is currently NOT ACCEPTING new orders at this time.
We apologize for this inconvenience and hope to provide additional information about this change as it becomes available.
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New Patient Registration

Please fill out the form below to join our medical marijuana collective. This is a 2-step process which requires you to send a copy of your valid doctors recommendation or state issued Medical Marijuana card after submitting the form below. Registration by phone is also available 10:00am-8:00pm daily by calling Toll-Free 1-800-768-0292

Please be sure to read our Frequently Asked Questions or feel free to contact us with any questions.

ALL PATIENTS WILL BE VERIFIED BEFORE ANY ORDERS ARE PROCESSED. NO EXCEPTIONS!

 
NOTE: If you already have an account with us, please login at the login page.
 
Your Personal Details * Required information
First Name:  *
Last Name:  *
Date of Birth:  * (eg. YYYY-MM-DD)
E-Mail Address:  *
Driver License Number:  *
 
Your Address
Address 1:  *
Address 2:  
City:  *
Zip Code:  *
State/Province:   *
 
Your Contact Information
Telephone Number:  *
Fax Number:  
 
Doctor's Information
Doctor's Name:  *
Phone Number:  *
Date of Recommendation:  * (eg. YYYY-MM-DD)
Date of Expiration:  * (eg. YYYY-MM-DD)
Patient ID Number:
 
Additional Information
How did you learn about MaryJanesBud?  
 
  By checking this box you certify that you are 18 years of age or older and have a valid doctors MMJ recommendation or state-issued MMJ card. *
 





 
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All our medical marijuana is provided in strict compliance with California Health and Safety Code
Section 11362.5(B)(1)(A) & 11362.7(H) Proposition 215 & Senate Bill 420


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