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Request and Invitation

IF YOU WISH TO JOIN A CANNABIS CLUB, PLEASE FILL OUT THE FOLLOWING FORM
TO REQUEST AN INVITATION.

Name (*)
Lastname (*)
Email (*)
Confirm Email (*)
Date of birth (YYYY-MM-DD) (*)
Phone number
In which city do you live? (*)
In which country do you live? (*)
When are you planning to come?(*)
What type of user are you? (*)
RecreationalMedicalBoth