Nature’s Relief Registration

Nature’s Relief – Customer Registration

Section 1: Basic Details

First Name *

Last Name *

Mobile (WhatsApp) *

Date of Birth *

ID / Passport Number *

Customer Photo

Address Details

Street

Street 2

City

Zip Code

Country

State

Section 2: Regulatory

Are you a Medical Cannabis Patient? *

Do you have a Section 21 Script?

Upload Script (Medical)

Upload ID Document *

WARNING: Contains cannabis. May cause impairment and drowsiness. Do not drive or operate machinery after use. Adults only. Keep out of reach of children and pets. Not recommended during pregnancy or breastfeeding. This product is not registered with SAHPRA as a medicine and no medicinal claims are made.

I have read, understood, and accept the cannabis product warning and disclaimer listed above. *

I consent to the storage and processing of my personal data (POPIA). *