Name     

Canadian Insurance Participant Registry (CIPR#) - if you have one  

Company   

Address            City     

Province  BC YT AB SK MB ON QC NB NS PE NF      Postal Code    

Business Phone  Home/Cell Phone

Fax   Your Email Address 

Seminar Cost:

Attend the 1-day seminar and receive 6 CE credits for being in attendance and in addition, you can choose between Option 1 OR Option 2.

OPTION 1 - After the seminar is completed, you can complete up to an additional 9 CE credits by using our Online Courses for a total of 15 CE credits.

Total Cost: $109.00 + $14.17 HST = $123.17

OR

OPTION 2 - After the seminar is completed, you can complete up to an additional 24 CE credits by using our Online Courses for a total of 30 CE credits.

Total Cost: $169.00 +$21.97 HST = $190.97

 
Seminar selection    Select one please

 
 

Payment Information   I will mail my payment       I will send my payment by ICS e-Transer   Send E-Transfers to payments@pro-seminars.com - No Password Necessary! To Pay by Cheque, Mail or ICS cheques to: Pro-Seminars Suite 203, 4438 Ontario Street Beamsville, ON L0R 1B5
Credit Card payment
I will pay by credit card
Credit card information Card Type Visa Mastercard Card Number                         Expiry Date 01 02 03 04 05 06 07 08 09 10 11 12   20 19 20 21 22 23 24 25 26 27 28 29        CVV2 #   (3 Digit Code on the back of your Credit Card) Type 1234 in the box to the right then click Submit Form:

 

Cancellation Policy
Substitutions may be sent at any time. All cancellations are subject to a $25 administration fee. To receive a refund, your written cancellation must be received a minimum of 21 days before the conference date. Refunds will not be issued after that date, instead we will issue a Credit less the administrative fee of $25 for any future Pro-Seminar event or self study course. This Credit will be valid for 12 months from the starting date of the cancelled event. It can also be redeemed by any employee of your company.