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JOE HEMP'S FIRST HEMP BANK 

Fed ID # 95-4743693  CA Sale/Use Tax 

         

Oakland ID: 1965204/28003352 - Berkely Lic. 00031553

 
         

 DOCUMENT PACKAGE

5 PAGES

  1. STATE LAW Information - The language of the Prop 215 Compassionate Use Act of 1996, Health and Safety Code 11362.5.
  2. NETWORK QUESTIONNAIRE includes RECOMMENDED USE MARIJUANA MEMBERSHIP ENTITLEMENTS.  This page is for identification of the card holder/patient identification.  Complete this document with signatures and dates at bottom of page.
  3. PATIENT AND CAREGIVER JOINT-PURCHASE MEMBERSHIP - Allows members lawful distribution under Federal Law. Requires completion and signature/date at bottom of page
  4. BAILMENT AGREEMENT - Allows for us to provide at a safe and affordable fee. Required electronic signature name at top and middle (Bailor) and signature of Bailee (First Hemp Bank or Branches).
  5. MEMBERSHIP DISCLAIMER AND DISCLOSURE
    1. Required to be filled out completely.
    2. Requires date an signature.
    3. Bottom  lines completed and signed by First Hemp Bank Branch(es).

Submit completed agreement with electronic signatures at at website.   Follow instruction presented upon process.  Copy of signed agreement by Joe Hemp's First Hemp Bank along with a membership ID card and ID numbers will be emailed to you upon Verification of application.
Please allow up to 5 days.

WELCOME ABOARD

The Bank and the branches "provide for the safe and affordable distribution of Medical Marijuana to all patients in medical need of Marijuana:.

ALL FIELDS MUST BE COMPLETE - Any questions, answer TBA and we will contact you.

ANY QUESTIONS ON APPLICATION Call:  (510) 866-1723

Your Order will be shipped directly to you upon phone order.  Call: 800.277.2409

VISA / MASTER CARD and DEBIT CARDS ACCEPTED BY PHONE.

CHECKS AND CASH DEPOSIT ACCOUNTS WILL BE PROVIDED BY THE FIRST HEMP BANK.

Joe Hemp First Hemp Bank Joint Purchase Agreement & Membership Package. All Documents are confidential and under Copyright and Trademark Law.  Rev. 5/10






PAGE 1


THE COMPASSIONATE USE ACT OF 1996

California H&S 111362.5(a). This section shall be known and may be cited as the Compassionate Use Act of 1996 as follows:
(b) (1) The people of the State of California hereby find and declare that the purposes of the Compassionate Use Act of 1996 are as follows:

(A) To ensure that seriously ill Californians have the right to obtain and use Marijuana for Medical Purposes where that Medical is deemed appropriate and has been recommended by a Physician who has determined that the Person's Health would benefit from use of Marijuana in the treatment of Cancer, Glaucoma, Arthritis, Migraines, or any other illness for which Marijuana provides relief.
(B) To ensure that Patients and Primary Caregivers who obtain and use Marijuana for Medical Purposes upon the Recommendation of a physician are not subject to criminal prosecution or sanction.
(C) To encourage the Federal and State Governments to implement a plan to provide for the safe and affordable distribution of Marijuana to all patients in medical need of Marijuana.
(D) Nothing in this Section shall be construed to supersede legislation prohibiting persons from engaging in conduct that endangers others, not to condone the diversion of Marijuana for Non-Medical purposes.
(E) Not with standing any other provision of law, no physician in this state shall be punished, or denied any right or privilege for having recommended Marijuana to a patient for Medical purposes.
(F) Section 11357, relating to the possession of Marijuana, and section 11358, relating to the cultivation of Marijuana, shall not apply to a patient, or to the patient’s Primary Caregiver, who possesses or cultivates Marijuana for the personal Medical purposes of the patient upon the written or oral recommendation or approval of a Physician.
(G) For the purposes of this section, "Primary Caregiver" means the individual designated by the person exempt under this section who  has consistently assumed responsibility for the housing, health, or safety of that person.

California Health and Safety Code 11362.5 makes it relatively simple to document your use of Marijuana  as Medicine.  Benefits of documenting your medical use of Marijuana under the Compassionate Use Act of 1996 include:

  1. Immediate stress reduction from no longer being considered as breaking the law.
  2. You can file a complaint without fear of arrest should your medicine be stolen or maliciously destroyed by anyone.  H&S 11262.5, charges can be filed against individual officers.
  3. Protect your Medicine and Plants from confiscation.
  4. Access to issuance of highest quality medicine from all locations provided by First Hemp Bank.
  5. More complete and honest medical records for your Physician to base health care decisions upon.
  6. Document your therapeutic use of Marijuana and join the growing number of Californians lawfully using Marijuana to benefit their health and well-being.

This information is provided pro bono by First Hemp Bank and Distribution Network, a private membership/joint-purchase Network.
Federal ID #95-4743693, Oakland ID # 1965204,
Berkeley Licence #2000-31553

For more information on becoming a card carrying member, call (510) 531-5208.

All Documents are confidential and under Copyright and Trademark Law Rev.5/10






PAGE 2


JOE HEMP'S FIRST HEMP BANK JOINT PURCHASE MEMBERSHIP NETWORK QUESTIONNAIRE

Date:


First Name:
Last Name:


INT:
Address:


City:
State:
Zip:


Home Phone:
Mobile:
Email:


Work:
Ext:


Date of Birth:
SSN:


Sex:
Personal:


Years Education:
Employed:


Health Insurance:




SOME RECOMMENDED USES OF MEDICAL MARIJUANA

1) Alcoholism  2) Alcohol Abuse  3) Cocaine or Speed Habit  4)   Aids related Illness  5) Cancer and Cancer Rx.  6) Chronic Fatigue Syndrome  7) Multiple Sclerosis  8) Anorexia  9) Nausea  10) Vomiting  11) Irritable Bowel  12) Colitis  13) Cerebral Palsy  14) Menstrual Cramps  15. Crohne's Disease  16) Antibiotic  17. Asthma  18) Cough  19) Anxiety  20) Other

Present Illness:


Diagnose Date:


Presently using Marijuana?
Marinol:


If yes, available Physician's name who recommended use:


How do you Consume:


Capsule:
Frequency Daily:


Amount Consumed per day:
Amount Weekly:


Amount Monthly:
Any Non-prescribed psychoactive drugs?


If yes, please explain:


Physician:


Referred By:


Has your physician discussed your use of Medical Marijuana with you? (x answers)


If yes, Physician's name:


State Physicians License:# (on your recommendation)



MEMBERSHIP ALLOWANCES

(1) Access to the finest Marijuana available.  (2) Ability to participate in investment programs with First Hemp Bank.  (3) Consultation available for answers to legal authorities.  (4) supervision and access to documented clones and fixtures to grow for personal use.



PARTICIPATE IN THE SAVING OF OUR PLANET


Network Employment.  Are you interested?


If so, what area? 


Others: Please Mention:


WHO REFERRED YOU TO FIRST HEMP BANK NETWORK?



UNDER PENALTY OF PERJURY, ALL INFORMATION PROVIDED IS TRUE AND CORRECT


Member Name:


Signed By with Signature Font :


Date:


All Documents are confidential and under Copyright and Trademark law Rev. 5/10  Joe Hemp's First Hemp Bank






PAGE 3


JOE HEMP'S FIRST HEMP BANK JOINT-PURCHASE MEMBERSHIP NETWORK


(PATIENT AND CAREGIVER JOINT-PURCHASE AGREEMENT)


I,:

by joining this Joint Purchase Network, authorize to cultivate Medical Marijuana for the Network and am in compliance with the intent of Proposition 215 in addition to the HEALTH AND SAFETY CODE 11362.5 and agree to adhere to all rules of agreement to this contract with this network and listed below:
I further acknowledge that any cultivated Medical Marijuana will be exchanged through the network and agree that I will not divert any medical Marijuana for the network to any other person or persons.

RULES OF THE AGREEMENT/CONTRACT

1.) I agree to provide only mold-free, pesticide-free medical marijuana to the network.  2.) I agree not to exceed the registered number of plants for which I am authorized to cultivate in this contract.  3.) I agree to keep all information regarding patients and transactions with the network strictly confidential.  4.) I agree, if I encounter the police, to show them my membership card, tell the truth and contact the network as soon as possible.  5.) I understand that redistribution of any Medical Marijuana cultivated under this agreement/contract is expressly prohibited and will result in the IMMEDIATE REVOCATION OF THE NETWORK MEMBERSHIP with the Network reserving the right to refuse membership at any time or revoke membership if deemed appropriate.

Name:
Address:


City:
State:
Zip:


Drivers License or CA ID#


CAREGIVER(if no caregiver type N/A):


REGISTERED PLANT COUNT:


I understand and agree to all information presented and under penalty of perjury all information submitted is true and correct.

Member Name:

Name:
Date:


Joe Hemp's First Hemp Bank Joint Purchase Agreement All documents are confidential and under Copyright and Trademark Law Rev. 5/10






PAGE 4


JOE  HEMP FIRST HEMP BANK JOINT-PURCHASE MEMBERSHIP NETWORK (BAILMENT AGREEMENT)

I:

From hereafter referred to as Bailor, enter into an agreement with Joe Hemp’s First Hemp Bank , hereafter defined as Bailee, for storage of personal property defined as MEDICAL/INDUSTRIAL HEMP.   The maximum AMOUNT of stored HEMP referred to in this agreement is 17 (seventeen) growing plants, with 200 particle available for personal consumption.
The Bailee takes the responsibility to provide to the Bailor a safe and controlled environment to expedite the growth of Bailor's property with Bailee exercising the knowledge acquired to accomplish this.
1.) It is in agreement that Bailor has established membership with Bailee. 
2.) It is in agreement that Bailee may use reserves to supply other memberships provided personal property is derive from complying source.
3.) It is in agreement that Bailee may take full possession of discarded non-germinatable waste.
4.) It is in agreement that Bailee in case of "unforeseeable conditions", Bailor's reimbursement is not to exceed 100 (one hundred) US dollars. 
5.) It is in agreement that payment is not to exceed "fairmarket value" for the services provided by Bailee. 
6.) It is in agreement that Bailee has a right to refuse personal property if delivered by Bailor (pertaining to the quality of). 
7.) It is in agreement that this Bailment agreement will remain fully effective for as long as this membership is deemed valid. 
8.) It is in agreement that Bailor's personal property has ability to produce a constant and consistent deliverable amount that may take up to 6 months.Signatures below verifies Parties are in agreement.

BAILOR: (Member Name)


Membership # (Your Driver’s License):



JOE HEMP'S FIRST HEMP BANK AND DISTRIBUTION NETWORK

Signed by On this Date :

Date :


AGENT Membership #  TBA
AGENT:  Hempress


Signed By with Signature Font :


All documents are confidential and under Copyright and Trademark Law Rev. 5/10






PAGE 5


JOE HEMP'S FIRST HEMP BANK JOINT-PURCHASE AGREEMENT

All documents are confidential and under Copyright and Trademark Law Rev. 5/10

JOINT-PURCHASE MEMBERSHIP NETWORK  -  DISCLAIMER AND DISCLOSURE

1.) Do you work for or affiliated with any local, County, State or Federal agency? 


If yes, what agency and position?

Agency:


Position:



2. Upon Completion and Acceptance of the application of Joe Hemp's Joint-Purchase Membership Network, this application becomes property of the Network and this agreement application and card will be registered with all appropriate authorities to comply with all conditions and restrictions pertaining to.

Signed by On this Date:


Signed By Signature Font

:



3. Upon signing of this petition, it's intent is to be used for any legislation pertaining to proposition 215 and Health and Safety Code 11362.5.  Joe Hemp's First Hemp Bank Joint-Purchase Membership Network retains durable power of attorney of registered voter's signature which will be force with 56% of membership majority voting.

Signed by On this Date:


Signed By With Signature Font

Name:


I HAVE READ AND UNDERSTAND AND AGREE WITH THE INFORMATION PROVIDED AND UNDER PERJURY OF LAW THE INFORMATION PROVIDED IS TRUE AND CORRECT.

Signed on this Date

Name:


Signed By:


Welcome!  Your Joint-Purchase Membership Number is

Your Joint-Purchase Membership Number is ( Enter your driver’s license number): :


Project Name:First Hemp Bank Membership


Signature of Agent:HEMPRESS:

Joe Hemp’s First Hemp Bank:


All copies will be returned by email and accepted as originals.  This package is under copyright and Trademark Law

JOE HEMP'S FIRST HEMP BANK
2814 Sylhowe Rd, Oakland, CA 94602
Fed ID # 95-4743693  CA Sale/Use Tax<
Oakland ID: 1965204/28003352  - Berkely Lic. 00031553

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