Please fill out the fields below to begin registering for a medical marijuana prescription.

You must be 25 years of age or older and a resident of Ontario, Canada to register. All fees are nonrefundable and only credit cards are accepted (VISA, MasterCard). Certain Doctors may require a Referral from your physician.

Contact Name is required
Invalid Email, proper format "" Email is required
(DD/MM/YYYY) You must be 25+ years of age to register to Cannabis Supply Co.
Birthdate is required

Username is required
Password is required
Confirm Password is required
>> HINT: The password should be at least seven characters long. To make it stronger, use upper and lower case letters, numbers and symbols like ! " ? $ % ^ & ).
Terms/Conditions is required