Patient Errl Cup Sign Up

Patient Errl Cup Sign Up

This is a submission form for “Patient” entry into the Errl Cup.   All information collected will only be used to contact you to submit your entry.  The Errl Cup understands and respects the privacy, security and legality of your service to other patients but your “Art” form.  We will not at anytime give any information regarding a patient, a dispensary and/or a vendor in regards to any information that has been discussed, orally, written or electronically.

 

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