Request for Service Purchase Agreement Thank you for Purchasing the GeoShepard™ Software Solution. By filling out this form, you are agreeing to our Terms, Services, and Conditions. (Discounted Annual contracts available. Contact your sales rep for details or info@geoshepard.com) Name* First Last Cell Phone*Work Phone(Optional)Email* Business Name*Address (for billing)* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Website(optional) State Mandated CTS*What is the Cannabis Tracking System required by your state? metrc Other metrc API keys*Which states are you in? (select all that apply) AK CA CO D.C. LA MA MD MI MO MT NV OH OK OR WV CO metrc API KeyFor GeoShepard to work, please provide your metrc API key that has admin privileges. (To do this, simply log into metrc and select generate API key under your username. Then paste the API key below.) OR metrc API KeyFor GeoShepard to work, please provide your metrc API key that has admin privileges. (To do this, simply log into metrc and select generate API key under your username. Then paste the API key below.) AK metrc API KeyFor GeoShepard to work, please provide your metrc API key that has admin privileges. (To do this, simply log into metrc and select generate API key under your username. Then paste the API key below.) MD metrc API KeyFor GeoShepard to work, please provide your metrc API key that has admin privileges. (To do this, simply log into metrc and select generate API key under your username. Then paste the API key below.) NV metrc API KeyFor GeoShepard to work, please provide your metrc API key that has admin privileges. (To do this, simply log into metrc and select generate API key under your username. Then paste the API key below.)MI metrc API KeyFor GeoShepard to work, please provide your metrc API key that has admin privileges. (To do this, simply log into metrc and select generate API key under your username. Then paste the API key below.)OH metrc API KeyFor GeoShepard to work, please provide your metrc API key that has admin privileges. (To do this, simply log into metrc and select generate API key under your username. Then paste the API key below.)LA metrc API KeyFor GeoShepard to work, please provide your metrc API key that has admin privileges. (To do this, simply log into metrc and select generate API key under your username. Then paste the API key below.)OK metrc API KeyFor GeoShepard to work, please provide your metrc API key that has admin privileges. (To do this, simply log into metrc and select generate API key under your username. Then paste the API key below.)MO metrc API KeyFor GeoShepard to work, please provide your metrc API key that has admin privileges. (To do this, simply log into metrc and select generate API key under your username. Then paste the API key below.)WV metrc API KeyFor GeoShepard to work, please provide your metrc API key that has admin privileges. (To do this, simply log into metrc and select generate API key under your username. Then paste the API key below.)CA metrc API KeyFor GeoShepard to work, please provide your metrc API key that has admin privileges. (To do this, simply log into metrc and select generate API key under your username. Then paste the API key below.)MT metrc API KeyFor GeoShepard to work, please provide your metrc API key that has admin privileges. (To do this, simply log into metrc and select generate API key under your username. Then paste the API key below.)MA metrc API KeyFor GeoShepard to work, please provide your metrc API key that has admin privileges. (To do this, simply log into metrc and select generate API key under your username. Then paste the API key below.)D.C. metrc API KeyFor GeoShepard to work, please provide your metrc API key that has admin privileges. (To do this, simply log into metrc and select generate API key under your username. Then paste the API key below.)Other?Please tell us what CTS you are using.Integration with MJFreeway and BioTrack is currently in development. A Sales rep will contact you.Referral?Did a customer of GeoShepard™ refer you? Give them a $50 credit.NoYesMember Name* First Last Member Cell Phone*Member Email* Sales Rep?If you have a GeoShepard™ Sales Rep, please select.No RepJD Koontz (VAR - CO)Terms, Services, Conditions, & Pricing.*By clicking on the check boxes you agree to our Terms, Services, Conditions, .Yes, I agreeNoCAPTCHA Δ
