I hereby declare under penalty of perjury under the laws of the State of California that: I am a California resident over the age of 18, have a valid state issued Driver’s License or Identification Card and a valid written approval by a licensed California physician to use medical marijuana for my documented medical condition(s). As a qualified patient protected by California law (Health and Safety Code §11362.5 and §11362.7, et seq., CA SB420), you are required to read and to agree with the following statements to become a member of OrganiCareUSA Inc., a California non-profit mutual benefit corporation. After reading the following statements, please select “I Agree To This Membership Agreement” in the checkbox below. This will certify that you have read, understand and agree with each statement.
I have read, understand and agree to each of the following:
I understand that OrganiCareUSA Inc. is a California non-profit mutual benefit corporation of qualified patients who voluntarily joined together to share resources and cultivate medical cannabis for each other’s respective medical condition(s). As a qualified patient I choose to become a member of OrganiCareUSA, Inc.
I understand that OrganiCareUSA Inc. was established to provide a professionally administered and legally structured organization for the benefit of all its members.
As a member, I appoint and designate OrganiCareUSA Inc. and their representatives as my true and lawful agents for the limited purpose of assisting in obtaining medical cannabis. I understand this means OrganiCareUSA Inc. may be required to purchase, possess, and distribute my medication to me and I grant them authority to do so.
I understand that OrganiCareUSA Inc. operates within full compliance of all applicable California laws relating to the cultivation, possession, transportation and use of medical cannabis.
I understand that all donations made OrganiCareUSA Inc. are to be used to reimburse for actual expenses and reasonable costs for the administration of the collective. Furthermore, all donations are for the continued operation of the collective and that any said donation in no way constitutes a commercial promotion or sale of any item.
I agree to provide my valid California physician’s recommendation for medical cannabis use and California Driver’s License or California Identification Card to driver each and every time I obtain medical cannabis.
I agree that only myself, or my designated caregiver will interact OrganiCareUSA Inc.
I agree to not share, sell or distribute any medical cannabis I obtain from OrganiCareUSA Inc.
I agree that no phones, still photos, video recording equipment, weapons, illegal drugs or activities are allowed at the organization location.
I hereby authorize my treating California doctor who recommended medical cannabis use, as required by state and federal laws including HIPPA regulations, to release my medical cannabis information concerning my diagnosis, condition, and/or prescription to OrganiCareUSA Inc.
I agree to notify OrganiCareUSA Inc. if there are any changes to my address, phone number, physician, caregiver, or email.
I understand this is a bi-lateral Membership Agreement. Either myself or OrganiCareUSA Inc. may terminate this Membership Agreement at any time by email, without notice, or reason and the other party to this Membership Agreement has absolutely no recourse or basis to re-instate the Membership Agreement, or any case of action.