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Cananbis_Vendor_Change_Form_v1

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Parash loya
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0% found this document useful (0 votes)
10 views2 pages

Cananbis_Vendor_Change_Form_v1

Uploaded by

Parash loya
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Cannabis Vendor Change Form

Date of Request Vendor No# Vendor Name

Contact Name Contact Phone# Contact Email

Health Canada License & Site Change (*Attached Health Canada license copy)

Health Canada Lic# Site / City Lic Start Lic Expiry Cannabis Classes allow to
Date Date sell (i.e. flower, editable)

Contact update :

Remove Add Contact Name Email Phone#

Other Vendor change : (* Need to attach backup)

OLD NEW
Vendor Name
Banking/ Deposit :

Signature: ________________________________________________________ Date : _____________________

Additional Comments :
INTERNAL USE ONLY

Department Approved by : Date (mm/dd/yy)


Category Manager
Wholesale Manager
Wholesale Vendor Relations

NEXT STEPS: Email Completed form to [email protected]

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