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2. Registration Type:*
   -- Select One --First Time/NewAnnual RenewalReporting Changes
4. The fiscal year for this registration:*
   -- Select One --July 1, 2020 - June 30, 2021July 1, 2021 - June 30, 2022July 1, 2022 - June 30, 2023July 1, 2023 - June 30, 2024July 1, 2024 - June 30, 2025July 1, 2025 - June 30, 2026
6. The total approved canopy sq. footage of the site for the fiscal year listed:*
8. List the number of growing cycles that will be HARVESTED during the fiscal year listed above:*

   If each grow cycle is a different amount, please specify (e.g., 5,000 sq. ft of outdoor x 1 and 1,500 sq. ft of MLT2 x 3).

10. List the sq. footage of each growing cycle that will be harvested during the fiscal year listed above:*
12. County Permit Number (ACP):*
14. State License Number:*
16. Business Type (select all that apply):

    1. Cultivation - Indoor
    2. Cultivation - Mixed Light Tier 2
    3. Cultivation - Outdoor
    4. Cultivation - Mixed Light Tier 1
    5. Delivery
    6. Distribution
    7. Manufacturing
    8. Nursery
    9. Processing
    10. Retail - Storefront
    11. Retail - Non-Storefront
18. Legal Business Name & DBA:*
20. Business Physical Address:*
22. Business Mailing Address:*
24. Mail Options:*

    1. I would like physical mail
    2. I would NOT like physical mail
26. Business Contact Person:*
28. Phone Number:*
30. Primary Business Email Address:*
32. Additional/Bookkeeper Email Address:
34. Business Website:
36. Full Name:*
38. Title:*
40. Upload METRC Data
42. Upload METRC Data
44. Upload METRC Data
46. Confirmation:*

    1. I declare under penalty of perjury that the information contained in this form is true and correct and that I am signing as an authorized agent of the business listed on this form.

    I understand that storage of contact information, including but not limited to names, telephone numbers, and email addresses in the TTC's request database may constitute a public record which may be subject to disclosure under the California Public Records Act, Government Code Section 6250.

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48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit

* indicates a required field