Registration - Tricanna Industries

New Retailer Application

*You must upload a valid, unexpired licence. Please do not upload Business Licenses or renewal notices, as this will create a delay in approving your account.

Company Info

Retail Store Name

GST Number

Shipping Street Address

Shipping City

Shipping Province

Shipping Postal Code

Cannabis Retail License

Upload Document

Cannabis Retail Licence Number*

License Expiry Date

Create your Login details, Email and Password

E-mail Address

CC Email

Password*

Confirm Password*

Primary Contact

First Name*

Last Name*

Phone Number*

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Terms and Conditions

You are required to read and agree to our Standard Terms and Conditions before registering for a retailer account with Tricanna.

Terms and Conditions

I have read and agree to the Standard Terms and Conditions

Additional Information

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New Retailer Application

Company Info

Create your Login details, Email and Password

Primary Contact

Terms and Conditions

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