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2. 
4. Please note: Applicants may create an optional CivicPlus account to save progress. For more information on creating an account, please see above. Once logged in, applicants may click the “My Forms” button to access saved progress. Uploaded documents are not saved and should be uploaded once applicants are ready to submit.
6. This form is for individuals and businesses who are interested in receiving updates and information about Richmond's Cannabis Equity Program.

   Learn more about Richmond Cannabis Equity Program by visiting www.ci.richmond.ca.us/4156/Cannabis-Equity 

8. Business Name (optional)
10. First Name*
11. Middle Name
12. Last Name
14. Email Address*
15. Phone Number*
17. Mailing Address*
18. City*
20. State*
21. Zip Code*
22. County*
24. How should we get in touch with you?*

    1. phone
    2. email

    1. mail
26. What type of cannabis business do you run/want to run?*

    You can select as many as you want, and can change your mind later.

    1. grower
    2. delivery only retail

    1. storefront reail
    2. distributor

    1. manufacturing
    2. testing laboratory

    1. incubator
    2. other
28. Are you interested in Richmond's Cannabis Equity Program?
    -- Select One --YesNo
30. Feel free to let us know any questions or comments you have.
Leave This Blank:


34. Submit

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