I declare under penalty of perjury that the information I provided to Satori Caregivers is true and correct, and it is strictly for the purpose of servicing my Satori “Private Patient Membership” for my medical marijuana therapeutic needs.
Pursuant Arizona Department of Health proposition-203, Arizona State Statue 36-2811, and the Arizona reciprocity law as well as all other Arizona Medical Marijuana Revised Statutory Laws.
AS PER ARIZONA STATE STATUTE 36-2811 PRESUMPTION OF MEDICAL USE OF MARIJUANA: PROTECTIONS: CIVIL PENALTY (B) A REGISTERED QUALIFYING PATIENT OR REGISTERED DESIGNATED CAREGIVER IS NOT SUBJECT TO ARREST, PROSECUTION OR PENALTY IN ANY MANNER, OR DENIAL OF ANY RIGHT OR PRIVILEGE, INCLUDING ANY CIVIL PENALTY OR DISCIPLINARY ACTION BY A COURT OR OCCUPATIONAL OR PROFESSIONAL LICENSING BOARD OR BUREAU: (3) FOR OFFERING OR PROVIDING MARIJUANA TO A REGISTERED QUALIFYING PATIENT OR A REGISTERED DESIGNATED CAREGIVER FOR THE REGISTERED QUALIFYING PATIENTS MEDICAL USE OR TO A REGISTERED NONPROFIT MEDICAL MARIJUANA DISPENSARY IF NOTHING OF VALUE IS TRANSFERRED IN RETURN AND THE PERSON GIVING THE MARIJUANA DOES NOT KNOWINGLY CAUSE THE RECIPIENT TO POSSESS MORE THAN THE ALLOWABLE AMOUNT OF MARIJUANA.
THE INDIVIDUAL “PRIVATE MEMBER PATIENT “ACKNOWLEDGES THAT HE/SHE IS NOT VIOLATING ANY STATE LAWS, AND ACKNOWLEDGES THAT ANY AND ALL DONATED FUNDS / MONIES, OR ANY ITEMS OF VALUE ARE SOLELY FOR THE PURPOSES OF PAYMENT FOR THE DELIVERY OF THE GOODS, FOR WEAR AND TEAR ON THE VEHICLE, FOR MILEAGE, CONSULTATION AND EDUCATION OF THE USE AND CONSUMPTION OF MEDICAL MARIJUANA AND ANY AND ALL ITEMS THAT CONTAIN MEDICAL MARIJUANA AND THE THC AND CBD SUBSTANCE.
I further declare under penalty of perjury that I am an Arizona-certified medical cannabis card holder or an out-of-state medical marijuana card holder and I am appointing Satori Caregivers to be my registered caregiver.
I further declare that I will not divert my medicine for non-medical use or for use by or to any other non-member patient. I further declare under penalty of perjury that I am not a member of any law enforcement agency and will not fictitiously register in order to divert any medicine for the purpose of any criminal investigation/s.
Lastly, by uploading my valid state of Arizona certified MMJ card or another out-of-state valid MMJ card or a doctors recommendation letter and Identification, I am agreeing to appointing Satori Caregivers to be my designated caregiver adhering and in accordance with all of the state of Arizona Medical marijuana, statutes, rules and regulations.