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Menu
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Become a Member
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
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First Name
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Last Name
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Email
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Username
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Password
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Confirm Password
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State
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City
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Are you 21 years of age or older?
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Yes
No
Do you work for law enforcement or any government agency?
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Yes
No
Do you support the private adult use of entheogenic plants?
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Yes
No
Do you smoke, consume, or use cannabis in any way?
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Yes
No
Do you support the private adult use of entheogenic plants?
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Yes
No
Do you think adults should have a safe place to use and/or acquire entheogenic plants?
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Yes
No
Do you use entheogenic plants for religious purposes?
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Yes
No
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Why do you want to join the church?
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How did you hear about us?
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Walked by
1OAKLand (1 Of A Kind Land)
Black On Broadway
Nest
Google / Other Search Engine
Postcard/Flyer
Instagram
TikTok
Friend
Other (e.g. bartender at [location name])
Location (e.g. Hello Stranger)
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First Name
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Last name
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Please describe
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Membership
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Gold Member: $5 per year
Platinum Member: $20 per month. Includes expedited in-store service and access to discounts and events
Terms
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I accept entheogenic plants (including cannabis and mushrooms) as part of my religion.
I agree to follow the rules and regulations of the church.
I hereby affirm that I read and understand the terms and conditions of this membership agreement without reservation.
I agree to all of the terms and conditions of membership of Akoma Group Church (referred to as the “Church”), a not-for profit church operated by Akoma Group, Inc., a California Corporation organized under California Corporation Law (referred to as the “Corporation“). I understand that this membership is being issued for a limited period of time and shall expire when such period of time has elapsed. The limited period of time during which my membership shall be valid begins on the date my membership application is approved and ends one year from that date, after which time my membership shall expire. I understand that this Agreement is required to join the Church, and I promise to abide by its terms and conditions at all times during my tenure as a member of the Church. In consideration of the processing of my application, and of the rights, privileges and benefits of membership in the Church, and for other good and valuable consideration the receipt of which is hereby acknowledged, I enter into this Agreement as of the date set forth next to my signature.
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