CIASD Membership Application Company Name * Membership Tier Select a Type Ancillary Membership - 3 Month Industry Membership - 3 Month Ancillary Membership - 6 Month Industry Membership - 6 Month Other Business Type Select a Type Cultivation Processing Testing Dispensary Accounting Architecture Banking Banking Software Brand Development Communications Consultation Design / Engineer / Build Education Growing Heating and Cooling Human Resources Insurance Law Marketing Operations Payments Physician/Medical Marijuana Certification Printing / Packaging Production Property management Regulatory Accreditation Security Services Software/Technology Second Business Type Select a Type Cultivation Processing Testing Dispensary Accounting Architecture Banking Banking Software Brand Development Communications Consultation Design / Engineer / Build Education Growing Heating and Cooling Human Resources Insurance Law Marketing Payments Operations Physician/Medical Marijuana Certification Printing / Packaging Production Property management Regulatory Accreditation Security Services Software/Technology Your Company Bio * Website http:// Company Phone * (###) ### #### Company Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Direct Contact (private) First Name Last Name Phone (private) (###) ### #### Email (private) Thank you! Our team will be in touch with you soon.Please email your company logo to ned@ciasd.com so we can add it to the member directory.