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Extraction, Tolling & Refinement Services
Name
*
First
Last
COMPANY
Phone
Email
*
Do either you or your client hold a CA cannabis state license?*
*
YES
NO
If yes, which license type(s)?*
*
Cultivation
Manufacturing Type 6
Manufacturing Type 7
Distribution
Transport Only
Testing Lab
Retail Store-Front
Retail Delivery
What kind of cannabis biomass do you need toll processed?
TRIM
CURED FLOWER
FRESH FROZEN FLOWER
How many pounds of the above-selected biomass do you need toll processed?
How many pounds of the above-selected biomass do you need toll processed?
SINGLE ORDER
WEEKLY ORDER
MONTHLY ORDER
What is your target price per pound for toll processing the biomass?*
*
For trim and/or cured flower, what type of end product(s) are you looking for?
Crude Oil
Distillate Oil
Concentrates
Other
For fresh frozen flower, what type of end product(s) are you looking for?
Live Resin
HTE / Terpene Sauce
Liquid Live
Diamonds
Sugar or Budder
Rosin
THCA
Other
What type of refinement services are you looking for?
Crude Oil to Distillate
Concentrate Post-Processing
Remediation
Other
How many liters or grams of the above-selected product do you need refined?*
*
How often will you need to above-stated volume processed? (Single Order, Weekly Order, Monthly Order)
SINGLE ORDER
WEEKLY ORDER
MONTHLY ORDER
What is your target price per gram for refinement?*
*
DISTRIBUTION INFORMATION
Do you have a Distributor in place to pick up your product once Artizen 420 has finished processing?
YES
NO
If so, who is your Distributor(s)?
Please add any additional notes that you think would be helpful regarding your company or your clients.
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Month
Day
Year
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