Basic Info About You & Your Dispensary

Fill out the Basic Information below so Flowhub & Daedalus Teks knows who to contact.

Be sure to provide the best contact information to ensure a quick response.

Company Name(*)

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Full Name(*)

Point of Contacts Full Name

E-mail(*)

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PH #(*)

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Billing Address

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Shipping Address(*)

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Rec or Medical(*)

Recreational
Medical
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How Many Locations(*)

Please tell us how many facilities in total you will open.

License Type(*)

Cloud or Server(*)

Cloud (Monthly Fee)
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How should we contact you?

E-mail Phone Text

When would you like to be contacted?(*)

Please select a date when we should contact you.

Are You A Robot?(*)

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