Retailer Application Business Name: Shipping Address The address information entered here is the shipping address for your orders Business Street Address: Business Unit Number: Business Postal Code: Please enter a valid postal code (e.g., A1A 1A1). Business Town/City: Business Province: British Columbia Primary Contact First Name: Primary Contact Last Name: Primary Contact Email Address: Primary Contact Phone Number: Please enter a valid 10-digit phone number (e.g., 604-722-5088, 6047225088, 604.722.5088). Financing/Accounting Contact Name: Financing/Accounting Email Address: Financing/Accounting Phone Number: Please enter a valid 10-digit phone number (e.g., 604-722-5088, 6047225088, 604.722.5088). Cannabis Retailer License ID: Cannabis Retailer License Expiry Date: Please select a future date. Past or today's dates are not allowed. Copy of Cannabis Retailer License: Submit Application
