What type of business are you running? Physical Dispensary Online Dispensary Delivery Service Do you ship across Canada? Yes No How long have you been operating? (years) Dispensary/Delivery Service Name URL to your website (if you have one) Email Please note, we will be sending a sample package upon account approval; please ensure the correct mailing address is entered. First Name Last Name Street Address Phone Address Line 2 City Province OntarioAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutPrince Edward IslandQuebecSaskatchewanYukon Postal Code Username Password Confirm Password Submit
