Membership form

Information about the organization

Name of organization

Address

City

Postal Code

Téléphone professionnel

Contact Information

Name of the contact person

Email of contact person

Téléphone professionnel

Téléphone cellulaire

Courriel de la personne responsable pour la facturation et paiement

Representation of the organization with the AQIC

Name of the contact person

Email of contact person

Téléphone professionnel

Téléphone cellulaire

Types of membership

Please choose from the five options below

Types of membership*Annual cost of membership

Regular member licensee of Health Canada - 15 000$

Regular member applicant for Health Canada license - 7 500$

Microcultivating member - 2 000$

Associate member - 5 000$

Partner member - 0$

Payment method

Per month

Twice a year

Four annual payments

Payment in full

Vos accès à l'espace membre

Veuillez faire la liste de courriel pour vos usagers

Courriel de l'usager #1

Courriel de l'usager #2

Courriel de l'usager #3

Courriel de l'usager #4

Courriel de l'usager #5

Once your application has been received and accepted, you will receive a confirmation email and your invoice.

Membership form

Information about the organization

Contact Information

Representation of the organization with the AQIC

Types of membership

Please choose from the five options below

Vos accès à l'espace membre

Veuillez faire la liste de courriel pour vos usagers

6 ways to get involved with the AQIC and receive exclusive benefits!

1 min.

1 min.

5 min.

5 min.

5 min.

5 min.