Join Issues with signing up? Please call us at (403) 401-2406 and we'll manually process your patient registration. 1 User Information2 Member Agreement Name* First Last Email* Desired Username*Password* Enter Password Confirm Password Strength indicator Phone*Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Drivers License / Passport / Province-issued IDAccepted file types: jpeg, jpg, gif, png, pdf, tiff.Please scan and upload your driver's license, passport, or province-issued ID card. If you choose not to upload your ID, you will receive a call from us to verify your identity. CANADA BLISS HERBALS - TERMS AND CONDITIONS: I understand that cannabis may cause temporary impairment including decrease in cognitive ability while medicated. It may increase heart rate and/or decrease blood pressure. I will not drive or operate heavy machinery while medicated on cannabis products. I understand that CBH provides medical cannabis to me only and that reselling and or sharing is strictly forbidden. If I am caught reselling and/or sharing I understand that I will be permanently banned from CBH services. I understand that this membership does not permit me to possess or transport cannabis. An ACMPR is required for that and can be obtained from your doctor. CBH can help facilitate this if needed. I understand that CBH makes no representations, warranties, or guarantees that medicinal cannabis will be effective for my particular medical conditions and/or symptoms. I grant CBH permission to keep a copy of my documentation on file. I designate CBH to attain medical cannabis on my behalf. Any credit card transactions will be billed from CBH Glass and Gifts. Welcome to Canada Bliss HerbalsAcceptance of Terms* I have read, and agree to, our membership agreement and terms of service. Digital Signature* First Last Date* wc_affiliate_idplaceholder for affiliate id - DO NOT REMOVEEmailThis field is for validation purposes and should be left unchanged.
