1. To provide a safe and relaxed environment all Northstar collective members will be received one at a time - DO NOT BRING FRIENDS OR FAMILY IN THE LOBBY OR LEAVE THEM WAITING IN YOUR CARS - Unless they themselves are members or caregivers.

2. Northstar is in strict adherence with the States Attorney Generals guidelines and California Health and Safety code 11362.775. If any member redistributes medicine from Northstar their membership will be terminated.

3. NO SMOKING WITHIN 500 FEET OF NORTHSTAR

4. All members should have a copy of their doctor's letter or card with them when visiting the dispensary or when traveling. If you are an existing member we will be happy to provide a copy for you when leaving. This rule protects both the patient and Collective.

5. Northstar will not dispense more than 2 ounces of medicine per day to members; this will include edibles and topical as we'll.

6. Northstar would like to welcome you to our community; as a private collective your membership will allow you access to many different alternative therapies to enhance yourself.

I hereby consent to the benefits provided by membership to Northstar Holistic Collective, a Nonprofit Corporation.

I am informed that Northstar is a nonprofit collective organized as a means of facilitating or coordinating transactions between members. I understand that Northstar has made no efforts encouraging me to produce or use any substance for any medical condition. I have been informed by Northstar that I should continue to seek professional medical advice regarding my use of any cannabis product.

I understand that Northstar reserves the right to refuse service(s) to members. I understand that any person caught violating Northstar's Rules of Membership Agreement may be excluded from membership. I am informed that membership is open only to patients whose physicians' recommendations or approvals for cannabis, or whose medical cannabis identification cards, have not expired, and to designated primary caregivers to such patients.

I agree not to use cannabis for other than medical purpose. i agree not to distribute cannabis to non-members of the Northstar collective. I understand that any member caught diverting cannabis for non-medical use will be excluded from membership.

I affirm that i am above 18 years of age or have consent of my parent/guardian, and that the information stated on my Information Form is truthful and accurate. If I am on parole or probation or released on bail, I certify that no condition of such parole, probation, or bail prohibits my use of medical cannabis.

I understand that my contributions to Northstar through products I may acquire from the collective, are used to ensure continued operation of Northstar, and that such transactions are exchanges to cover overhead costs and operating expenses, and in no way constitute commercial promotion.

I understand that medical cannabis, while being a well-known effective therapeutic agent, is still considered illegal by federal government. Therefore, by agreeing to this form, all members of the Northstar collective are committing an act of collective federal civil resistance.