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APPLICATION FORM

Home/APPLICATION FORM
APPLICATION FORMCathy2016-11-10T15:46:16-08:00

  • Drop files here or
    Accepted file types: jpg, png, pdf, jpeg.
    Valid recommendation note and picture ID (US Driver’s License, Gov't ID or Passport)
  • Caregivers must bring patient’s designated caregiver’s paperwork, as well as a government issued I.D. for themselves as well as the patient they represent. (Notarized copy is acceptable)"

  • Read the rules of the PCC
  • Please sign your name in the above field. This will be considered your legal signature when form is submitted.

    The Information on this form will be kept confidential

Instagram post 2193872944537987380_12906433165 We have new EXTENDED HOURS from 9AM to 9PM!!!!!!! 🕰⏰🌉 -
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Instagram post 2189491654598467554_12906433165 He traveled 34 light years to get this BAKLAVA! 👽 @alienlabs 🔥
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#alienlabs #cali #cannabis #cannabiscommunity #cannabisculture #outofthisworld #cannabiscures #thc #berkeley #weedporn #weed #baklava #thebest #bayarea #berkeleypcc #pccberkeley #maryjane #cannabisphotography #cannabissociety #cannabisindustry #cannabisdaily #cannabislife #cannabismedicinal #cannabisconnoisseur #cannabislove #westcoast
Instagram post 2188865377793345226_12906433165 Perfect weather to get BAKED! @bigpetestreats @sol.distro This is BIG PETE’S Peanut Butter 10.1 CBD cookie 🍪 😍
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#bigpetestreats #baked #cbdtreats #cbdcookies #medicine #thc #weed #weedporn #cbd #cbdhealth #ratio #knowyourmedicine #california #santacruz #boardwalk #love #delicious #goodness #yummy #berkeley #cali #cannabiscommunity #cannabisculture #cannabutter #cannabisbaking #cannabisgrow #cannabiscure #cbdcures
Instagram post 2188764212086858446_12906433165 Hope you’re having a great weekend! Here’s a dope shot of Forbidden Lemon Glue 🍋@foxworthysonoma
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#sonoma #thc #cannabis #cannabiscommunity #pccberkeley #bayarea #cali #cannabisphotography #cannabisculture #cannabisgrow #cannabiscures #maryjane #terps #flavor #reefer #thcdaily #cbd #medicine #california #westcoast #fire #🔥
Instagram post 2188135609590351315_12906433165 We’re THANKFUL FOR YOU ! Hope to see you soon !! #pccberkeley #cannabiscommunity #cannabis #cbd #cannabisculture #medicine #loveyou #eatclean #thc #cannabisgrow #northernemeralds #qualityoverquantity #herbs #california #berkeley #thankful #cannabisphotography #cannabissociety #maryjane #reefer #jupiterog #og #fuego #🔥
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Instagram post 2186679877024169753_12906433165 Happy Danksgiving ! Safe travels and....DON’T FORGET YOUR WEED! -
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#thanksgiving #thankful #berkeley #cannabiscommunity #cannabisculture #thc #pcc #bayarea #cbd
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510 540 7878

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