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Account information
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A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.
Endorse the VMMA (it's free!)
Check this box if you want to officially endorse the VMMA by having your information displayed on the "Endorsements" page of this website. Your information will be reviewed for completeness before being displayed. You must fill out every field besides the "Statement" field to officially endorse the VMMA.
Personal Information
Please enter your first and last name.
Please enter your street address. This field is required if you wish to officially endorse the VMMA. The content of this field is kept private and will not be shown publicly.
Please enter the city in which you reside.
Please select the state in which you reside.
Please enter your zip code. The content of this field is kept private and will not be shown publicly.
Please provide your phone number (Including area code). This field is required if you wish to officially Endorse the VMMA. The content of this field is kept private and will not be shown publicly.
Please select the military branch in which you served.
Please enter your specialty or career field. This field is required if you wish to officially Endorse the VMMA.
Please enter a brief statement on why you support medical marijuana access for veterans. This field is optional for all users.
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