• Cannabis Compliance & Registration Form

  • Business Details

  • Required

    Name of who is completing this form

  • Please include Corp, INC, LLC, etc...

  • Please double check that this is correct.

  • Please list the individual first and last name

  • Please list an additional beneficial owner's first and last name (if applicable)

  • Please list an additional beneficial owner's first and last name (if applicable)

  • Please list an additional beneficial owner's first and last name (if applicable)

  • Required Required Required

    Please share the first/last name and email for who you'd like AeroPay to contact for refund/order confirmations.

  • We'd love to promote your business on our social media accounts!

  • This address should be associated with the EIN/TIN

  • We will create one 'Scan to Pay' QR Code per POS.

  • Upload file Capture image using webcam

    This will be used to create your custom QR Code materials.

  • We will be shipping your QR Materials via USPS.

Email upload