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Canadian Therapeutic College/ Canadian College of Dental Health |
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Continuing Education |
Course Registration Form |
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Please enroll me in the following Continuing Education course(s). Enclosed is my full payment (no post dated cheques please). Full payment is due on or before enrolment date, noted under each course description. My spot is reserved upon receipt of payment. If the course is cancelled, I will receive one week’s notice with a full refund. If I cancel 1 week prior to the course date, there will be a 10% administrative fee. No refund will be issued if cancellation is less that 7 days from the course start date. All fees include GST. |
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Postal Code: _________________________
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( ) __________________________ |
Cellular: ( ) ________________________
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Course Registration Details |
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Course Name: |
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Course Fee: |
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Please use your Visa®, MasterCard® or to pay for your order.
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Expiration Date. ___/___ |
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Name: _______________________________________________
Address: _______________________________________________
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____________________________________________ Signature of Card Holder |
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Canadian Therapeutic College
Mail to: 760 Brant Street Burlington, ON. L7R 4B7 or Fax to: 905-632-2895
Telephone: 905-632-3200 or 1-877-278-8888