OMS Membership Online Application

All members must be 19 years of age or older to purchase from our dispensary.

Please Complete the Required Fields Below and Upload 2 clearly scanned pieces of government ID (one of which must have a photo).

Uploaded files can only be in PDF format.

First Name (required)

Last Name (required)

Valid Email Address (required)

Contact Phone Number (required)

Address (required)

Please Attach the Required Documents to Expedite Your Online Application. ** Uploaded files can only be in PDF format. **

Health Canada MMPR or MMAR authorization forms

Or Membership with a federal licensed producer

Or a Referral letter or other documentation that confirms your diagnosis

Or a Membership from another dispensary

Government ID (required)

One of these must have a picture

1.

2.

Additional Message

I accept the OMS Codes of Conduct.