Fill the form below to receive
rewards and exclusive offers.
1. Name (First, Middle, Last)
4. Email Address
5. What is your age
18-2222-2930-3940-4950-5960 or Older
6. What are your social media handles? (Instagram, Twitter)
8. What is the name of your Collective?
9. How long have you been a patient of this Collective?
New Patient (less than 3 months)Six (6) months to One (1) yearThree (3) to Six (6) monthsOne (1) to Two (2) years
10. What are your favorite strains of cannabis?
11. Employment / Hobbies / Interests (Tell us briefly about yourself)
12. How did you find out about Dank Tank ?
13. What do you like about Dank Tank?
14. If you could change one thing about Dank Tank, what would it be?
15. Most memorable experience using Dank Tank products?
16. Did you know that Dank Tank makes the following products? (Check all that apply)
Half-gram Cartridges (500 mg)One-gram Cartridges (1000 mg)CBD Cartridges (35%) (1000 mg)Crumble, Shatter, and other Cannabis ConcentratesVaporizer Battery w/ USB ChargerVaporizer Battery w/ USB ChargerTHC and CBD Syringes (for Vaping or Oral / Topical Consumption)The REACTOR (Portable Cannabis Concentrate "Bong")
17. Suggestions / Questions / Comments