Thank you for choosing Cannavitae Mobile. So that we are able to provide you with full access to our website, please complete the New Membership Registration Form below.

Kindly note that it can take up to 24 hours for your account to be approved. We will notify you by e-mail once your account has been approved. All new members enjoy 15% OFF their first purchase.

The collected customer registration data are kept strictly confidential. Only fully completed forms are accepted. 

Referred By:

Please identify your referral by customer number or first and last name. Please put N/A if this does not apply.

We kindly ask you to read our Privacy Policy before submitting this form. Submitting this client registration form indicates that you have read and agree to the terms and conditions of privacy and other conditions set out.

I read and accepted the Terms of Service for Cannavitae Mobile. I understand the terms and conditions that were outlined in the agreement. I hereby declare that the information submitted through the New Membership Registration Form are true and correct to the best of my knowledge and belief.