Become a Partner

Partner Application

Approved partners receive private menu access, cart, invoices, and order history.

Submit Application

Application Review

Activate Account

Portal Access

Business Information

Store / Business Name

Owner / Manager Name

Email Address

Phone Number

Website (optional)

Shipping Address

Street Address

City

Province

Postal Code

Country

License Information

Retail License Number

License Expiry Date

Have multiple license numbers? You can add them in Account Details after your first login.

Upload Copy of License

Drag & drop or click to upload — PDF, JPG, PNG

Additional Notes (optional)

All Direct Delivery account applications are subject to review. Leaf Cross reserves the right to approve or decline applications, and to limit product availability or purchasing access, at its sole discretion and in accordance with applicable laws and regulations.

I have read and understood the above terms and consent to the review of this application by Leaf Cross Biomedical.

Please accept the terms above to continue.

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