Please complete all sections of the registration application below and submit the completed, signed and dated original application to Canada’s Island Garden Inc. You will need to send your completed medical documents by one of the following methods:

1. mail the original completed Medical Document to us, signed and dated by your health care practitioner, or
2. send by secure fax from your practitioner’s office, to 902-370-5501.

All information on the application must match that on the Medical Document form. Incomplete forms will result in delay or denial of registration.

*Note: If you wish for your order to be shipped to your health care practitioner, please refer to the printable form in Step 1 as a signature from the practitioner is required.