Membership Form

Application Requirements

You must be 19+ to be eligible for a membership!

After you fill out this online application, you MUST show us two pieces of valid, original identification:

  • An official government issued ID (including foreign government issued) with name, picture and birth date; such as a driver’s licence or passport
  • A secondary ID that includes name or picture

Which location do you wish to present your two pieces of identification at?

 

Optional: Photo ID Upload

To save time when you complete the application in the store, you may upload a scanned copy of your primary photo ID through our secure form. Your ID must be in .jpg format, with a maximum size of 3 MB. Please be aware that you will still need to bring this ID with you for verification.

Applicant's Information

First Name:
Last Name:
Date of Birth:

Address:

City:

Province:

Postal Code:

Phone Number:

Email:


Membership with The Herb Co is for medical cannabis patients only.

I intend to use cannabis for medical purposes.
First and Last Name (please print clearly)

Signature

Date

Please note: When you pick up your membership card, you must show your photo ID. No exceptions.

THE HERB CO. NEWSLETTER

Would you like to receive The Herb Co.'s email newsletter and special promotions?

CODE OF CONDUCT

PLEASE CHECK EACH BOX AFTER READING.
VIOLATION OF THESE CODES OF CONDUCTS WILL RESULT IN A TEMPORARY OR PERMANENT SUSPENSION OF SERVICES.

NO RESELLING. NO SHARING. We provide medical cannabis for you only. Any reselling or sharing of your medicine is forbidden. If you are caught reselling any products purchased from The Herb Co., you will be permanently banned from receiving services.
BE POLITE. We are doing our best to provide a service to our clients. Please treate the staff and other members of The Herb Co. with politeness and respect.
BE RESPONSIBLE. Use your medicine in a respectful and responsible way. Smoking cannabis should be done in private, not in public.
KEEP US INFORMED. Please let us know about any quality issues you have with our products. Good or bad, please let us know what works and what doesn't work.
NO SMOKING on or near dispensary locations. Do not smoke cannabis within 100 feet of dispensary locations.
DO NOT TRANSPORT ANY CANNABIS OUT OF CANADA.

Surveillance Policy

To ensure the safety of all staff and members of The Herb Co., all areas on dispensary premises will be under 24-hour camera and audio surveillance (real-time monitoring).

I have read and understand the policies stated above.

By signing below I am declaring that I agree with the terms of membership with The Herb Co. Medical Cannabis Dispensary.

First and Last Name (please print clearly)

Signature

Date