Form 1 — Request COA
Triggered from: Every Request COA › link in the Medical product drawers.
Recipient: info@phant.ca
Pre-population: Product name and reference lot (if available) auto-filled from the drawer.
Fields
| Label | Field type | Required | Notes |
|---|---|---|---|
| Your name | text | Yes | |
| Your role | dropdown | Yes | Options: Prescriber · Pharmacist · Licensed distributor · Procurement · Patient · Other |
| Organisation | text | No | Hidden if Role = Patient |
| Country | dropdown | Yes | Default options: United Kingdom, Germany, Czech Republic, South Africa, Australia, Canada, Other. If "Other," show a free-text field beneath. |
| Yes | |||
| Product | text | Yes | Pre-filled from drawer, editable |
| Reference lot | text | No | Pre-filled if available |
| Notes | textarea | No | Max 500 characters |
| Privacy + Terms agreement | checkbox | Yes |
Submit button
REQUEST COA
Confirmation copy
Replaces the form on submission.
Thank you. Your COA request has been received. A member of the team will be in touch within two business days. For urgent enquiries, please email info@phant.ca directly.
Form 2 — Send an Enquiry (Sales)
Triggered from: Send an Enquiry button on the Sales card in the Medical Contact section. Recipient: sales@cnpg.ca
Fields
| Label | Field type | Required | Notes |
|---|---|---|---|
| Your name | text | Yes | |
| Organisation | text | Yes | |
| Country | dropdown | Yes | Same options as above |
| Market interest | multi-select | No | Options: United Kingdom · Germany · Czech Republic · South Africa · Australia · Canada · Other |
| Format interest | multi-select | No | Options: Flower · Extract · Live Resin · Distillate · Oral · Bulk |
| Estimated volume | dropdown | No | Options: Sample / pilot · Up to 1kg/month · 1–10kg/month · 10kg+/month · Discussion |
| Yes | |||
| Phone | tel | No | |
| Notes | textarea | No | Max 1,000 characters |
| Privacy + Terms agreement | checkbox | Yes |
Submit button
SEND ENQUIRY
Confirmation copy
Thank you. Your enquiry has been received and routed to our Sales and Distribution team. We aim to respond within two business days. For time-sensitive enquiries, please contact sales@cnpg.ca directly.
Form 3 — Open a Market Enquiry
Triggered from: Open a market enquiry › CTA on the Markets section expansion card. Recipient: sales@cnpg.ca
Fields
| Label | Field type | Required | Notes |
|---|---|---|---|
| Your name | text | Yes | |
| Organisation | text | Yes | |
| Your role | dropdown | Yes | Options: Licensed importer · Medical distributor · Pharmacy group · Procurement · Other |
| Country | text | Yes | Free text — these enquiries come from markets we don't yet supply |
| Regulatory pathway in your market | textarea | Yes | "How is medical cannabis regulated in your jurisdiction? What licence or pathway would you operate under?" Max 800 characters. |
| Format interest | multi-select | No | Options: Flower · Extract · Live Resin · Distillate · Oral · Bulk |
| Yes | |||
| Notes | textarea | No | Max 1,000 characters |
| Privacy + Terms agreement | checkbox | Yes |
Submit button
OPEN MARKET ENQUIRY
Confirmation copy
Thank you. Your market enquiry has been received. Market expansion is reviewed by our Sales and Distribution team and may take longer than a standard enquiry to evaluate. We will respond within five business days, and may follow up with additional questions about your jurisdiction's regulatory framework.
Form 4 — Retailer Account Request
Triggered from: Request an account button on the /retail placeholder page. Recipient: sales@cnpg.ca
Fields
| Label | Field type | Required | Notes |
|---|---|---|---|
| Business name | text | Yes | |
| Cannabis retail licence number | text | Yes | |
| Province | dropdown | Yes | Options: BC · AB · ON · SK · Other |
| Primary contact name | text | Yes | |
| Yes | |||
| Phone | tel | Yes | |
| Notes | textarea | No | Max 500 characters |
| Privacy + Terms agreement | checkbox | Yes |
Submit button
REQUEST ACCOUNT
Confirmation copy
Thank you. Your retailer account request has been received. Applications are reviewed within two business days. For account questions in the meantime, contact sales@cnpg.ca.
Validation messages (reusable)
| Condition | Message |
|---|---|
| Required field empty | This field is required. |
| Invalid email | Please enter a valid email address. |
| Phone format | Please enter a valid phone number. |
| Privacy + Terms unchecked | Please agree to the Privacy Policy and Terms of Use. |
| Submission error | We couldn't submit your form. Please try again or email us directly. |