INFINITY GREEN COLLECTIVE

MEMBERSHIP AGREEMENT
I (the undersigned patient member) state, understand, agree, declare and/or acknowledge:
I am over 18 years of age and a resident of California. My doctor has recommended my use of medical
marijuana and in accordance with CA Prop 215 and SB 420, I am legally able to use, possess and cultivate
cannabis for medical purposes.
INFINITY GREEN COLLECTIVE, The purpose of the INFINITY GREEN COLLECTIVE is to grow, cultivate,
harvest, and distribute medicinal cannabis to qualified California patients who have valid physician
recommendation letters, as prescribed by law, recommending to them the medicinal use of marijuana, as
provided by Health and Safety Code section 11362.5, 11362.775 and the provisions of the California
Compassionate Use Act.
That INFINITY GREEN COLLECTIVE, here-in-after referred to as the COLLECTIVE, accomplishes this
mission by coordinating, directing and/or administrating patient members cooperative efforts, acting together,
towards the production, cultivation, acquisition, transportation, storage and distribution of medical marijuana,
and in rendering and purchasing services of all kinds, and entering into agreements with similar or like
organizations for the benefit of the COLLECTIVEs patient members.
I voluntarily choose to be a non-voting patient member of the COLLECTIVE and upon my Patient
Membership acceptance by a COLLECTIVEs authorized representatives signature below, I will follow and/or
abide by all the rules and regulations of membership set forth by the COLLECTIVEs Board of Directors or
Administrative Staff duly appointed/hired and empowered by the Board of Directors.
I authorize INFINITY GREEN MEDICINAL CANNABIS COLLECTIVE to create and/or assign agency rights in
its own name for the purpose of growing medication and/or obtaining edible forms of medicine for my benefit.
As a member, I appoint and designate the COLLECTIVE, and their representatives, as my true and lawful
agents for the limited purpose of assisting in obtaining my legally prescribed medicinal marijuana. This
means that the COLLECTIVE will be required to grow, cultivate, purchase, possess, transport, and distribute
my medication to me as recommended by my physician and I grant them the limited authority to do so.
I further authorize the COLLECTIVE to enter into contracts to obtain and/or allow growth/preparation of
medication and edibles for my benefit.
As a member, I understand that the COLLECTIVE has other members with similar Membership Agreements.
I authorize the COLLECTIVE to jointly possess the medical marijuana as described under this Agreement
jointly with other COLLECTIVE members.
I agree the medicinal marijuana possessed by the COLLECTIVE, at any and all time(s), is the COLLECTIVE
property of every current existing member in good standing who is also under this or a similar Membership
Agreement with the COLLECTIVE and that no current or previous member has any equity claim or specific
equity position what-so-ever in any medical marijuana possessed or may be possessed by the COLLECTIVE
in any form.
Any/All sums donated to the COLLECTIVE are used to recover any/all out of pocket expenses and
reasonable compensation for the COLLECTIVEs member services.
All my contributions to the COLLECTIVE are used to ensure the continued operation of the COLLECTIVE
and that any said donation in no way constitutes a commercial promotion or sale of any item. I will not
redistribute any medical marijuana I obtain through the COLLECTIVE.
I shall provide the COLLECTIVE with all changes in my contact, diagnosis or primary physician information
immediately. Further, at any delivery of medical marijuana to me, I shall provide the COLLECTIVEs delivery
person a verification of my doctors medical marijuana usage recommendation letter.
I also agree to any and all future changes of the COLLECTIVEs policies as the laws for safe access
develop. This agreement is bi-lateral in so far as either I or the COLLECTIVE may terminate this Agreement,
at any time, without notice or reason, and the other party to the Agreement has absolutely no recourse or
basis to re-instate the Agreement or any cause of action.

MEMBER INFORMATION
Print clearly to avoid errors
__________________________________________________________________________________
First Name
Last Name
__________________________________________________________________________________
Address
City, State, Zip
__________________________________________________________________________________
Phone
E-mail Address
__________________________________________________________________________________
Physician Name
Physician Phone
[____] Check box and insert if member of law enforcement, Provide the agency below:
__________________________________________________________________________________
CA ID or CDL ______________________
I certify under penalty of perjury that (1) The information provided is true and accurate, and (2) I am
not seeking membership for any fraudulent purposes.
Signed: __________________________________Date:__________________________
I am a primary Caregiver for the registered Member _____________________________
Complete this section only if you already have a doctors recommendation pursuant to
California Health and Safety Code 11356.7 and Sb-420, 2003
ID CARD ISSED BY___________________________________________________
ID CARD NUMBER __________________________ EXP. DATE______________
I authorize my recommending physician to verify his or her recommendation or approval for the use of
medical cannabis.
Sign X _____________________________________ Date ___________________________________
NOTICE TO LOCAL LAW ENFORCEMENT: Pursuant to the Constitution of the State of California, Amendment III,
Section 3.5(c), state enforcement officials do not have the authority to refuse to enforce a statute on the basis that federal
law or federal regulations prohibit the enforcement of such statute. Furthermore, in Garden Grove v, Superior Court, the
Court of Appeal for the Fourth Appellate District has observed that, it is not the job of the local police to enforce the
federal drug laws. Thank you for your understanding and compliance.

MEMBERSHIP RULES
To be a patient or primary caregiver associated with the Collective you are required
to agree and comply with the following membership rules. Any violations of these rules will subject
you to immediate expulsion from membership.
1. Medical marijuana may be dispensed by the Collective to patients and primary
caregivers ONLY, as per California Health and Safety Code Section 11362.5 et
seq.
2. No medication from this facility may be transferred, gifted, sold, disseminated or
otherwise transmitted to anyone other than the visiting patient or primary caregiver.
Medication is for personal consumption by the patient only.
3. While medical marijuana is legal under the laws of the State of California, it is not
legal under federal law and California law may not provide you protection as a
patient or primary caregiver.
4. Do not operate heavy machinery or operate a motor vehicle while under the
influence of medical marijuana.
5. Do not open medication until in a safe location.
6. California Law requires all patients to have their recommendation on their person
while traveling from location to location with medication.
7. This facility does not allow any patient or primary caregiver to receive over eight (8)
ounces of medication, in any combination or forms (edibles excluded), in less than a
30 day period. If additional medication is required because of a hi-volume necessity,
please speak with management for authorization.
8. WE RESERVE THE RIGHT TO REFUSE SERVICE TO ANYONE, FOR ANY
REASON.
9. If any patient or primary caregiver violates any of these rules, they may be subject to
immediate expulsion from the Collective and all privileges may be revoked.
MEMBERSHIP AGREEMENT FOR:
INFINITY GREEN COLLECTIVE, A CALIFORNIA MEDICAL CANNABIS PATIENT
COLLECTIVE
Dated: __________________________
________________________________________ Member Signature
________________________________________ Member Name Printed
ACCEPTED ON BEHALF OF THE COLLECTIVE:
Dated: __________________________
________________________________________ AUTHORIZED AGENT FOR COLLECTIVE