Flowery New Patient Signup

Welcome to TheFlowery.co - home of the finest medical cannabis in the state of Florida. In order to make a purchase from The Flowery you must first register with us using the form below. With your account set up, you can place orders for delivery or pickup, accumulating loyalty points with every purchase. You can also link your checking account directly to The Flowery for a 100% cash-free transaction!

Once again - Welcome, and thanks for giving The Flowery the time to blow your mind!

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Customer Information

MaleFemalePrefer Not To Disclose

First Name*

Last Name*

Birthday

Phone*

Email*

Address*

Apartment #

City*

State*

Zip Code*

Medical Card

Patient #*

Would you like to join our loyalty program?

YesNo

Referral

Create Password

The password must contain at least one capital letter and at least one number

Password

Confirm Password

I agree to The Flowery Terms & Conditions.

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