PineApple Xpress Marijuana Delivery

Getting verified at Pineapple Xpress is simple. To get things started, just fill out the form below and we will call you as soon as we have verified your information (usually within an hour if you submit within our hours of operation (10 am to 11 pm).

Too lazy to fill out the form? No problem. Just give us a call at (714) 795-4347 and we can verify you over the phone. After you are verfied, you can schedule a delivery.

First Name (required) :   Last Name :   Email (required) :   Birthdate ( DD/MM/YYYY ) :   Address :   City :   Zipcode :   Phone :   CA State ID Number :   Doctor’s Name :   Doctor’s License Number :   Patients Number :   Doctor’s Phone :   Dept of Health ID :   Doctor’s Name :   Recommendation Issue Date :   Recommendation Exp. Date :   Referred By :