Order Request

CDFA LICENSE HOLDERS: Fill out this form to inquire about direct ordering clones, feminized, and autoflower seedlings. HOMEGROWERS and MEDICAL GROWERS: Please do not use this form and instead visit our "Retail Partners" page by clicking the drop-down menu to find your nearest plant provider. In order to purchase clones directly from our nursery you must possess a California State Cultivation, Distribution or Retail Permit. If you do not possess a state permit (doctor's recommendation/medical recommendation does not qualify as a permit), please visit the "Retail Partners" page to find Dark Heart products nearby. Thank you for choosing Dark Heart Nursery!

Name*

First Last

Company Name

Job Title

Email*

What is your phone number?*

What type of customer are you?*

How many plants per year do you grow?

Please enter a number from 1 to 10000000.

How do you grow? - DEPRECATED

Indoor
Outdoor
Greenhouse
Light Deprivation

What is your licensing status?*

Have Annual State Permit
Have Temporary State Permit
Have Local Authorization
None of the Above

What style of growing do you do? (select all that apply)

Indoor
Outdoor
Greenhouse
Light Dep

What types of products are you interested in?*

Premiums
Heartlets
Feminized Seedlings
Autoflower Seedlings

How many patients or customers do you have?

Please enter a number from 1 to 10000.

How many retail customers do you see per day?

Do you have a clone department?*

What is max amount of clones allowed for purchase per member/per day?

Please enter a number from 1 to 10000.

Do you have an easily accessible parking lot for our delivery vans?

Retail Location*

Street Address City State ZIP Code

Would you be willing to pay a delivery fee?

Who referred you to DHN?

In which county are you primarily located?*

How frequently do you purchase clones? - HIDDEN

What would be the average number of stems you'd need in a single clone order?

Please enter a number from 1 to 50000.

What topics would you like to see more information on? (select all that apply)

What purpose are you growing for?

Personal
Hobby
For Friends and Family
Education/Research

When do you typically purchase your clones? (select all that apply)

What strain categories most interests you? (select all that apply)

What strains are you most interested in? (select all that apply)

Are there any comments or feedback you would like to share with us? If so, tell us here.

Age Verification*

I certify that I am 21 years of age or older

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Outgrow your expectations

Direct Order Inquiry

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