Members Login
  Welcome to the sample web site. This is where you explain your mission statement. Your member would click "Members Login" above. In California, where we are located, that would include notifying all visitors that the site is only open to qualified patients under propositions 215 and 420 and that verification is required to enter. You might also include a brief list of features available to members, such as your community bulletin board, your members links section, and anything else you might conceive.

Members access the site through the "Members Login" link above right. In this sample, it does not require a passord for access. However, on your site only approved patients would have access.

Then you would continue with instructions on filling out the form below, required for access.

All fields required. You are authorizing us to use this information to verify your legal access to medical marijuana only. It will not be shared or distributed in any manner.

IMPORTANT NOTE:

This is a sample web site only. The form below will not work. However, a list of available domain names and a service request form can be found here.

First NameLast/Surname
Address
CityState/Province
CountryZip/Postal Code
Your PhoneYour Email
Dr. NameDr. Phone
Your recommendation/patient ID#:
Exipres :
State ID or Drivers License #:
Exipres :
Password: (at least 6 characters)
Re-enter Password:


Visit the NORML web site!

© 2009 Your group/organization/company name. All rights reserved.

Design by: www.medicalmarijuanabuyersclub.com