New Account Setup

Please complete the following information to establish an account with Cascadia Labs. A separate form is needed for each licensed entity.


 
Business Information
Person Responsible for Account *
Person Responsible for Account
Business Type
Business Address *
Business Address
Accounts Payable Phone *
Accounts Payable Phone
License Expiration Date
License Expiration Date
Reporting Information
Reporting Contact Person 1 *
Reporting Contact Person 1
Reporting Phone 1 *
Reporting Phone 1
Reporting Contact Person 2
Reporting Contact Person 2
Reporting Phone 2
Reporting Phone 2
Report all data to Confident Cannabis? *
Report all data to Open Cannabis Project?
RESULTS WILL NOT BE DELIVERED WITHOUT PAYMENT.