Medical Card

Medical Marijuana Card Application

Medical Marijuana Card Validation

  • Step 1
  • Last Step

Application Form

First Name

Last Name

Phone

Email

Country/Region

Address

Address 2

City

State/County

Zip

ID Card / Driver's License (Front)

ID Card / Driver's License (Back)

Medical Condition

Detailed Description

Welcome to D. Frank!

Your consultation has been registered and you're enter the virtual waiting room. Your details have been redirected to our physicians, so you qualify and receive your medical rec in your inbox immediately. Pay our $79 non refundable application fee via PayPal now Get MMJ soft card, then receive hard copy will be sent to your address within 2-3 days. Make sure your camera and microphone are activated before your visit.

Card Holder Name

Card Number

Expires

CVV

Pay a Non Refundable $79 Application Fee Via PayPal SEND FRIENDS AND FAMILY ONLY PayPal Email: helloganja0@gmail.com

Proof of Payment

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