Become a Partner — OrGanja Cannabis Society

Name

First Name

Last Name

Phone

Country

(###)

###

####

Website

http://

Mailing Address

Do you identify as an African, Indigenous or Diaspora Person of Colour (AIDPOC)?

Yes

What is your cultural kingdom or lineage identity?

Are All Owners of Your Business AIDPOC?

Yes

What is Your Organization/Brand/Service Name

Name of Business or Organization

How Can Healing Stream ECO. Support Your Business?

Does Your Business Support AIDPOC Communities?