Natural Cannabis Vendor Evaluation Form
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1
2FLOWERS
Thank you for making an appointment to have your product evaluated! We look
forward to meeting with you. Here are some things to know before you come in...
For FLOWERS, please bring 1 pound (454 grams) per strain. We will evaluate up to
two strains per appointment (total of 2 lbs.).
For CONCENTRATES, please bring 28-60 grams. We will evaluate 2 per appointment.
EDIBLES
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PROVIDER INFORMATION
First Name: ________________ Appointment Date & Time: _______________
Email Address: __________________________________________________
CONCENTRATES
Phone Number: ____________________ OK to leave message? [ ] Yes [ ] No
Has your product been lab tested? [ ] Yes
[ ] No
FLOWERS
STRAIN/GENETICS
Strain Name: ____________________________________________________ Quantity Available: ____________________
Parent Genetics: _____________________________________________________ Harvest Date: ____________________
[ ] Indica
[ ] Sativa
[ ] Hybrid
For Hybrids, please list percentage breakdown of Indica vs. Sativa: ___________________________________________
CULTIVATION METHOD
Grown from: [ ] Seed
[ ] Clone
[ ] Indoor
[ ] Outdoor
[ ] Greenhouse
Humidity Range/Control: ________________________
Number of Lights/Wattage: ___________________________
Temperature Range/Control: _____________________
Water Source/Filteration: _____________________________
Grow Medium: ________________________________
Pest Control Method/Products Used: ____________________
Nutrients used during vegetative growth cycle: _______
_________________________________________________
____________________________________________
Flushing Method/Duration:____________________________
____________________________________________
Storage & Drying Method/Duration _____________________
Nutrients used during flowering cycle: ______________
Tell us about yourself as a cultivator and your techniques. What
____________________________________________
sets you apart? ____________________________________
____________________________________________
________________________________________________
GROWING REGION
Please list the appellation in which your cannabis was cultivated
____________________________________
(refer to back page)
CONCENTRATES
STRAIN/GENETICS
Product Name: ________________________________
Cannabis Strains Used: _______________________________
Genetics: ___________________________________________________________ [ ] Indica
[ ] Sativa
[ ] Hybrid
TYPE
[ ] Bubble Hash
[ ] Kief
[ ] Oil
[ ] Shatter
[ ] Wax
[ ] Other: _____________________
EXTRACTION METHOD
Please describe your extraction method in detail. Include a detailed list of all products and apparatus used during the process:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
EDIBLES
Product Name: _________________________________________________ Price per unit: _________________________
TYPE [ ] Baked Good
[ ] Candy
[ ] Savory
[ ] Capsules/Tinctures
[ ] Other: _________________________
Flavor(s) Available: ______________________________
Additional Products Available: _________________________
_____________________________________________
_________________________________________________
INFUSION METHOD/INFORMATION
DOSAGE
_______ mg THC _______ mg CBD
Cannabis Strain(s) used: ____________________________________________ [ ] Indica
[ ] Sativa
[ ] Hybrid
Please describe your infusion method in detail. Include a detailed list of all products and apparatus used during the process:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Do you work in a licensed commercial kitchen? [ ] Yes [ ] No
Are you Food Safety Certified?
[ ] Yes
[ ] No
OTHER
For cannabis and related products that fall outside of the categories above...
Product Name: ____________________________________ Description: _______________________________________
TYPE
[ ] Topical Treatments
[ ] Seeds
[ ] Other: __________________________________________________
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