First Name *

Last Name *

Email *

Phone *

Company/Business Name *

State *

Company Service Area

Enter required value

Website

Mailing/Shipping Address

Full Address, City, State, Zip

Business Type

Accounting and bookkeeping Analytical testing and lab services Apparel & lifestyle brands Cannabis Hospitality & Tourism CBD products Compliance and regulatory services Construction and contracting Consulting Cultivation Cultivation & greenhouse supply Cultivator Data services Delivery and transportation Dispensary Education and training Energy, environmental, and sustainability services Events and conferences Extraction & distillation supply Financial services and payment solutions Health care professionals Hemp cultivators Human resources and staffing Information technology and software Infused products manufacturer Insurance Investment and asset management Legal services Manufacturing supply Marketing Marketing, branding, and public relations Media and publications Nonprofit and policy Operations Packaging and labeling Power & waste management Production Professional Resources Public relations Real estate Retail Security Seed banks SEO & social media services Soil & nutrients Vaporizers & accessories

Are you a social equity applicant or licensee? *

Enter required value Applicant Licensee

Applicants for social equity or economic empowerment license

Please upload an official document or correspondence that clearly states your Social Equity status. (If your state has not yet opened applications, please create and upload a pdf stating your intent to apply under social equity provisions and the criteria you will be using to apply). 

20MB max

Current social equity or economic empowerment licensees

Credit Card Type *

Enter required value Visa MasterCard Amex Discover

Name on Credit Card *

Credit Card Number *

Credit Card Verification Code *

Credit Card Expiration Date *

Credit Card Billing Address *

Full Address, City, State, Zip

Acknowledge *

I authorize National Cannabis Industry Association "NCIA" to charge this credit card for the agreed upon amount. I agree that I will pay for this purchase in accordance with the issuing bank cardholder agreement. All information will remain confidential. 

I attest that I am not currently or haven't been a member of NCIA over the past 12 month period

I have read and agree to the Code of Conduct

All members must abide by NCIAʻs Code of Conduct. Please review here before continuing with your application.