Company Name *

Contact Name *

Email Address *

Phone Number

Are you a Health Canada licensed facility? *

• Yes
• No

What is your monthly average quantity?

What level of refinement do you require for your toll extraction?

• Crude
• Winterized
• Distillate
• Not sure yet

Are you in need of white-label products? *

• Yes
• No

If Yes, please select which white-label products you’re interested in:

• Vapes
• Edibles
• Concentrates
• Capsules
• Tinctures

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