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 8
66 209-5111

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:
  Company name:
  Referred by :

Mailing address

  Street :
  Postal code:  
  Business Phone:     Ext:
  Home Phone: 
  E-mail Address: 
  Degree/s Held:
  Designations or certifications
  * Have you ever been convicted of a Criminal Offence for which you have not been granted a pardon? NO    YES

* Have you ever been disciplined or had any restrictions placed on any professional license that you hold by any Regulatory Body or Association?   NO    YES

  * 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

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:  

Please note -
A $25.00 Administration Fee is added to the fee for all Students that wish to take advantage of our Installment
Payment  Option.

Option 1 - Full Payment

Live Class
$995.00 + Applicable tax

Distance Learning Course
$1,095 + Applicable tax

Option 2 - Installment Plan - Only available for live class

Live Class
$995.00 + $25.00 Administration Fee Applicable tax X 4 equal payments

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 Cheque
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
203-4438 Ontario Street

Beamsville, ON
L0R 1B5

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. 

Cancellation Policy: 
Amount of tuition paid, less a $50 cancellation fee, will be refunded if the materials are returned
unused within 30 days of receiving same.


This web site Copyright 2018 Canadian Initiative for Elder Planning Studies

Canadian Initiative for Elder Planning Studies Inc.