Survivors Without Access Signup

Hello, Jane! We’re so glad you’re here.

This is Jane Project launched our compassion program, Survivors Without Access, to address an all too common problem for women and non-binary trauma survivors: safe and affordable access to regulated, tested cannabis. SB-34 compliant and together with brand partners, we are overjoyed to support janes with donated medicine.

Kindly fill out the below information to apply. A valid medical card is required.*

Full Name *This question is required.

Date of Birth *This question is required. This question requires a valid date format of MM/DD/YYYY.

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Please confirm your eligibility: *This question is required.

I am a woman or non-binary person
I am a trauma survivor

A valid medical card is required. Please upload a pic of your card here.

*If you do not yet have a valid medical card, please email thisisjaneproject@gmail.com for information about MMJANE, our discounted medical card recommendation program. *This question is required.

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Contact Email *This question is required. This question requires a valid email address.

Phone Number *This question is required.

City *This question is required.

Zip Code *This question is required. This question requires a valid number format.