Use this form to enroll by Toll Free fax...
1. Fill out the form 2. Print the form 3. Fax the form Toll Free to 1 866 209-5111
STEP 1 - Please enter your personal information...
|Your Name - EXACTLY as you want it on your certificate:|
|Your Name - As you want it on your name badge:|
|Referred by :|
|Designations or certifications|
* Have you ever been
convicted of a Criminal Offence for which you have
not been granted a pardon?
ever been disciplined or had any restrictions placed on any
professional licence that you hold by any Regulatory Body
|* A positive answer to the above does not mean that you may not apply but be prepared for a delay in your enrollment while we investigate your circumstances.|
STEP 2 - Tuition Fees...
The classroom program tuition fee is currently $995.00 + Applicable tax
The distance learning program tuition fee * $1,095 + Applicable tax
The Enhanced Distance Learning program tuition fee $1,195.00 + Applicable tax
All study methods include a comprehensive study guide and your first-year EPC membership is waived.
Participants must complete and pass a written examination at an authorized testing centre before being awarded the Elder Planning Counselor (EPC) designation.
STEP 3 - Please select the Study Option/Location closest to you:
STEP 4 - Please select a Payment Plan for your program:
Option 1 - Full Payment
Option 2 - Installment Plan - Only available for live class
STEP 5 - Please select your desired method of payment:
For Credit Card Payment/s - We accept the following cards
Card Number: --- Expiry Date
Name on card:
For Payment/s made by
Make cheques payable to - C
I will ICS my cheque/s I will Mail my Cheque/s
Mail or ICS cheques to
Canadian Initiative for Elder Planning Studies
Note - Your designation will be granted when you have successfully passed the exam and your tuition is paid in full.
$100.00 Corporate tuition discount
from the current posted tuition fee is
available for groups of ten or more from the same company attending the same class.
The annual $150.00 Elder Planning Counselor membership fee for the first year is waived upon payment of the tuition fee.
Amount of tuition paid, less a $50 cancellation fee, will be refunded if the materials are returned unused within 30 days of receiving same.
CLICK HERE TO RETURN WHEN FINISHED PRINTING
This web site Copyright © 2013 Canadian Initiative for Elder Planning Studies Inc.