Caldera Fill-In Form Name First Name * Last Name * Date Of Birth * Shipping Address * Apartment/Unit City/Town * Province * Choose One Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Postal Code * Email Address * Phone Number # Welcome Discount Code Upload here a Photo of a Government Issued ID Upload here a Photo of you holding the same Government ID given above. If you have a MMPR / ACMPR Licence or doctor's note, upload a photo of it here. If you require assistance with uploading your image or have any other questions, check the box below and we will contact you to arrange an appointment. I would like to have a phone consultation. How did you find us? * Choose One Online Search Online Ad Through a Friend Through one of our Representatives What types of Cannabis products are you most interested in? How often do you use Cannabis 1 to 6 times a year 1 or 2 times a month 1 or 2 times a week Most days Please list any conditions you use or would like to use Cannabis for. Please Read and Accept Terms of Membership Before Proceeding * I accept the terms of membership We curate our cannabis menu carefully, selecting only choice aromatics and aesthetics; always with a clean finish.We honour small business practices that treat everyone with fairness and integrity and abide by cannabis laws.View us on Google Maps.