You are being sponsored by: Daniel Crumpton (663)HiddenWho sponsored you Into CannaSense? Enter your sponsor's first and last name OR their sponsor number. If the above is pre-filled and locked, please use the input below:HiddenIf the above information is pre-filled and INCORRECT, please enter your sponsor's first and last name OR their sponsor number. Personal InformationFirst Name, Last Name* First Last Email Address, Confirm Email Address* Enter Email Confirm Email Phone Number*Home Address* Address Line 1 Address Line 2 City State Zip CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Membership ApplicationCreate a username to log-in to your account.* Do not enter an email address. You may enter letters and numbers. When your account is approved, you will be issued a TEMPORARY password.What part of CannaSense are you interested in?* Recreational Account Patient Account Becoming a vendor Are you 18 years of age or older? Recreational users must be at least 21 years old.* Yes No If you are under 21 years old, a DOCTOR'S RECOMMENDATION or STATE MEDICAL ID is required.Please read the CannaSense Total Wellness Membership Agreement. (Opens in new tab) Please read the CannaSense Total Wellness Guidelines and Standards.Do you agree to the terms of the CannaSense Total Wellness Membership Agreement?* Yes No Please enter your first and last name as your electronic signature for entering into the CannaSense Total Wellness Membership Agreement.First Name, Last Name First Last Proof of EligibilityREQUIRED: Upload your government issued photo ID. This is required to validate your account.* Drop files here or Select files Max. file size: 64 MB. You may upload any government issued ID, such as a driver's license or passport. The file size CANNOT exceed 64MB.UPLOAD YOUR DOCTOR RECOMMENDATION BELOWMax. file size: 8 MB.(NOTE: DO NOT SUBMIT THIS FORM WITHOUT YOUR RECOMMENDATION IF YOU ARE GOING TO BE A PATIENT/MEMBER. Detailed Instructions Can Be Found on the Become a Member Page.The Doctor's visit is with an independant organization, with no ties to the CannaSense Total Wellness Collective. You must pay for the Doctor's services separately. You may get your California Recommendation using any provider. For a list of providers, click here. CLICK HERE TO SAVE and continue later.