As a qualified patient protected by California Law, Health & Safety Code §11362.5 and §11362.7, et seq., and, in conjunction with California State Senate Bill 420, you are required to read and agree to the following statements to become a member of ganjarunner Collective “(aka ganjarunner)” Please understand that these are for your protection, as well as ours. Please read the following statements and initial that you have read each where provided. Please sign the bottom of this form confirming that you read each of the statements and understand them.

ganjarunner Collective is a NON-PROFIT Consumer Cooperative Corporation organizing and facilitating qualified medical patients for the purpose of collectively cultivating medical cannabis for its members, pursuant to Health and Safety Code sections 11362.765 and 11362.775. Our Collective is dedicated to providing members with the highest level, quality service pursuant to the Compassionate Use Act and Medical Marijuana Program Act (Health & Safety Code § 11362.5, et seq.)

By accessing/using this website and its e-commerce functionality as a member of ganjarunner collective, I hereby declare that I am a qualified patient under CA H&S Code §§11362.5, 11362.7, et seq., and my doctor has recommended, prescribed and approved my use of medical marijuana. As per CA H&S Code §11362.51, I am legally able to use, possess, and cultivate cannabis for medical purposes. I understand that I am allowed to do so through safe and affordable access such as the type provided by ganjarunner , therefore, designate ganjarunner as my care provider for this purpose. In doing so, I agree to sign and follow all ganjarunner Collective’s bylaws, rules and regulations regarding their services.

I further authorize ganjarunner to create and/or assign agency rights in its own name for the purpose of growing medication and/or obtaining edible forms of medication for my benefit.

I also agree to pay all personal out-of-pocket expenses and reasonable compensation for ganjarunner Collective’s member services.

I hereby declare under penalty of perjury under the laws of the State of California that a medical doctor recommended or approved my use of medical marijuana. I have been diagnosed for a serious illness for which cannabis provides relief.

I hereby verify that I am a California resident and my personal medical marijuana will not be taken out of the State of California. I further verify and agree that my medical marijuana shall not be shared, sold, bartered, traded, exchanged or delivered in any other means to any other person.

I hereby declare and understand that my contributions to ganjarunner for and through prescribed medicinal products I may acquire from ganjarunner are used to ensure the continued operation of ganjarunner and that any said transaction in no way constitutes a commercial promotion or sale of any item.

As a member, I hereby agree, appoint and designate ganjarunner, and their representatives, as my true and lawful agents for the limited purpose of assisting me in obtaining my legally prescribed medicinal marijuana. I understand that this means ganjarunner will be required to purchase, possess, transport and distribute my medication to me as prescribed by my physician and I grant them the limited authority to do so.

As a member, I understand that ganjarunner has other members with similar Membership Agreements. I hereby authorize ganjarunner to jointly possess the medical marijuana as described under this Agreement jointly with other ganjarunner members under similar Membership Agreements.

I agree the medicinal marijuana possessed by ganjarunner at any time is the collective property of every patient who is also under this Membership Agreement and the care of ganjarunner.

I agree to provide ganjarunner with all changes in my contact information, diagnosis, or primary physician immediately.

Proposition 65 Notice In 2009, the CA Office of Environmental Health Hazard Assessment added marijuana smoke to its list of chemicals known to cause cancer.

As a member of ganjarunner collective, I hereby acknowledge and accept receipt of this notice.

FOOD AND DRUG ADMINISTRATION (FDA) DISCLAIMER These statements have not been evaluated by the Food and Drug Administration (FDA). These products are not intended to diagnose, treat, cure, or prevent any disease.

As a member of ganjarunner collective, I hereby acknowledge and accept receipt of this notice.

I hereby consent to the benefits provided by ganjarunner. I understand that the ganjarunner has made no efforts in encouraging me to produce or use any substances for my medical condition. I have been informed by an authorized representative of ganjarunner that I should continue to seek professional medical advice prior to and during my use of any cannabis product I may acquire through ganjarunner.