Cooperate Registration

Cannaheal Community

Name of Organization *

Corporate Registration (CAC) No/ Its Equivalent: *

Corporate Office Address

Work Office Address
(If different from Corporate office address):

Postal Address

Official Email *

Cannaheal Community

Other Information

Location *

State/County *

Mobile Call Line *

Contact office Line: *

Class of Business/Service or Nature of Organisation *

International Office(s)/Location: (If applicable) *

Which Professional institution is your organisation registered with? *

Membership Identification code or Registration no: *

Cannaheal Community

OTHER INSTITUTIONS OR MEMBERSHIP INFORMATION

Institution/Organisation/Group Name: (Please specify) *

Membership Identification code or Registration no: *

Why is your organisation interested in being a part of the community?

Cannaheal Community

CANNAHEAL COMMUNITY INTERACTION

What area(s) role and value are you willing to participate as a Member of the Community?

How would you like to contribute?

How did you get to know that community exist?

Are you willing to invest in the advocacy and awareness? (Please indicate)
Legislation
Stakeholders’ Consultation
Media
Research
Expo-Conference

Cannaheal Community

CANNAHEAL COMMUNITY INTERACTION Contd.

What Advocacy model would you want to share with the community?

What business model would you want to share with the community?

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Cannaheal Community