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By Tanis Day Phd

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Registration PDF Print E-mail

You can use this form to register.

If you have any questions please call us at 519 895 8589

Name  
Street Address
City
Province/State
Postal/Zip
Tel. #
Email
Date of Birth
Please tell us something about your background
Please tell us what you hope to derive from this program
  When you click on the SUBMIT button below you will be taken to a payment options page to make your payment. Please check how you will be paying:
By Check    By PayPal   Other


                             
































 
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