Vendors - Nova Paths

Name*

First Last

Company Name*

Email*

Phone*

Website

Are you:*

What is the status of your RETAIL license?*

You must be a licensed in the state of Oregon or have applied to be one.

Why has your RETAIL application not been submitted?*

What is the status of your MEDICAL license?*

You must be a licensed in the state of Oregon or have applied to be one.

Why has your MEDICAL application not been submitted?*

How many locations to you have?*

Primary Address*

Street Address Address Line 2 City State ZIP Code

Can you provide high resolution photo of your store(s)*

Product Photo

Drop files here or

Please at least one photo of your product. (File uploads are limited to jpg, png, tiff, or jpeg files of 2Mb or less.) Submit

Name

This field is for validation purposes and should be left unchanged.

Oregon Cannabis Retail Stores