Fill in the registration form below:

*


*


*


*



Please remember to Mail in your deposit cheque/money order in the amount of $200.00 CDN [Programs in Canada] or $200.00 US [Programs outside Canada] to the address below. *This amount includes a $100.00 CDN/US non-refundable administration fee.
C.P.E.B. Therapies Inc.
145 Spadina Rd.
Toronto, ON
M5R 2T1