Vape and E-Cigarette Products Member Request Form

If you are already a member, please log in to GreenTrax here.

If you are not yet a member, please complete this form if your company manufactures, distributes, imports or is the brand owner of vaping products and e-cigarettes with built-in or removable batteries weighing less than 5 kg, sold in the province of Quebec.

 
 
 
 
Company Name*
 
 
 
Contact Name*
 
 
 
Email Address*
 
 
 
Phone Number*
 
 
 
Address Line 1*
 
 
 
 
Address Line 2
 
 
 
 
City*
 
 
 
 
Province*
 
 
 
Postal Code*
 
 
 
 
 
 
 
Vapes Products Offered*
 
 
Vaping Products Brand(s)*