Power Patient Enrollment Please enable JavaScript in your browser to complete this form.Name *FirstLastCell Phone Number *Email *Participation Level *Level (1) Referral Team (Earn store Discount Coupons)Level (2) Cannabis Promotions Ambassador (Earn Free Products and Merchandise)(Pro) B&B Cultivation Patient Ambassador (PRO Level, Cannabis Industry & Space Opportunities)Please describe the ways how you could contribute to Promoting B&B Cultivation both online and offline? *I certify that I am a valid Maine Medical Use of Marijuana Program card holder *None chosen ValidatePlease check the appropriate box *I am an Existing B&B PatientI want to become a B&B PatientI accept the "Terms and Conditions" for participation. see terms & conditions page *None chosen I have read and accept the Power Patient "Terms and Conditions" as set forth Send-it!