The information that you provide goes directly to us, and is kept on record and confidential. Please keep your information current. Thank you!
Pianta Tinta Collective
PIANTA TINTA COLLECTIVE is dedicated to providing our members with the highest level of quality service pursuant to the Compassionate Use Act. In order to be legal and compliant and also ensure the safety of our members, it is manditory that it be filled out.
Members agree to provide current contact information to PIANTA TINTA COLLECTIVE. This information must be kept current at all times. Failure to maintain current information shall result in termination of membership.
In addition to filling out this membership form, please email us a copy of your Physicians recommendation and a copy of your California Drivers License to email@example.com.
If you cannot scan and email them, please take a clear photo with your phone and attach it to the email. We will then acknowledge receipt via email.....your name will be added to our email list so that we can keep you updated on important news...thanks!