Awards Registration

Step 1 of 2

Please select your entry category(Required)

* Repeat for multiple entries

Product Type

Please continue to our Flower Category registration form

Company Name(Required)

DBA / Legal Name (if different)

License Type

Other License Type?

License Number(Required)

Contact Name(Required)

Contact Number(Required)

Email Address

Business Address(Required)

Street Address Address Line 2 City State ZIP Code

Product Name(Required)

Product Description

Product Photos

Drop files here or

Max. file size: 50 MB, Max. files: 20.

Dropoff Location

Please select the Embarc store you would like to drop your samples off at

Acknowledgments

I will provide 10 shelf ready units as trade samples to Embarc

I acknowledge it is my responsibility to coordinate with State Fair Cannabis Awards staff to ensure timely delivery of samples prior to 05/09/2024

Please tell us if this is your first entry?

Total cost for entry

Payment Method

American Express

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name