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Private Cannabis Club Membership Application & Agreement
1. Applicant Personal Details
Full Name & Surname
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Identity / Passport Number
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Date of Birth
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Contact Number
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Email Address
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Upload ID / Passport Copy
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Physical Address
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2. Type of Membership Requested
Grower / Cultivation Member:
Appointing the club to cultivate cannabis on your behalf in a shared private space.
Consumer / Wellness Member:
Accessing shared club cannabis yields for personal consumption or wellness.
Supporter Member:
Non-consuming member supporting cannabis reform and community initiatives.
3. Mandatory Legal Declarations
Please read and accept each declaration before submitting this application.
I hereby declare that I am an adult over the age of 18 years.
I agree that any cannabis or cannabis products received through the club are strictly for my own personal private consumption.
I explicitly agree that I will not sell, trade, distribute, or deal cannabis shared with me to any third party.
I acknowledge that this club is a private, member-only space and agree to respect and protect the privacy of all members.
I agree to abide by the club’s Constitution, Code of Conduct, and internal rules.
4. Mandate and Ceding Agreement
I hereby mandate the Club to utilize an allocated portion of its private infrastructure to cultivate, process, and store cannabis on my explicit instruction and on my behalf.
I agree to pay monthly or annual membership contributions to cover operational costs, cultivation expenses, and club maintenance.
I acknowledge this is a non-profit collective and not a commercial retail purchase.
5. Signatures and Execution
Signed at
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Date
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By submitting this form, the applicant confirms that all information provided is true and accurate.
Submit Application