Hemp Licensing Payment Processing
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Applicant Information
Application Type:
Cultivator
Non-University
Processor
Is the name on the credit card different from the applicant?
Yes
No
Applicant Name or Business Name:
Email address associated with application:
Next Step: Billing
Billing Information
First Name:
Middle Name:
Last Name:
Phone:
Email:
Billing Address:
Billing City:
Billing State:
Billing Zip:
Payment Amount:
Payment Type:
Credit/Debit Card
Check
Next Step: Payment
Payment
Click button below to add your credit card number. You will be taken to a 3rd party site, CBOSS, to finish this online transaction.
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