ALBERTA CANNABIS COUNCIL

The signup form for Retailers

Company Information
Company Name
Number of Active AGLC Licenses or Locations
Number of AGLC Licenses or Locations Awaiting Approval
Head Office Address
Street Address City Postal Code
Website*
Yes, we want to have your company name and logo displayed on the ACC website as members of the association.
Corporate Logo
Please provide your store logo for display on our website.
Primary Contact Information
Please let us know who our primary contact will be for your company. This person will be given your voting authority within the ACC, and receive all communications from the association. The primary contact can be changed whenever and as often as you want.
Name*
First Last
Title / Position*
Phone*
Email*
I agree to my contact information being shared with other members of the ACC and displayed in the ACC members directory.

Company Information