Customer Support Form

Customer Support Form

Please use the form below to submit your questions, comments and concerns about your upcoming or previous experience at Planet 13.

Customer Name*

Please provide your full name.

How would you like to be contacted?

Select or enter value

Phone Number

Email Address

Location*

Select

Planet 13 Las Vegas Department Selection

Select

Medizin Department Selection

Select

Planet 13 Orange County Department Selection

Select

Customer Concern

Select

Receipt

Do you have your receipt?

Receipt/Order #

Notes*

Please give any additional information that will help expedite a solution. Including product name, strain, brand, etc.

Send me a copy of my responses

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