Elder Planning Counselor Program - Segment Registration

STEP 1 - Please enter your personal information:

Your Name - EXACTLY as you want it on your certificate: 

Company name: 

Referred by : 

Mailing address:


City:    Province:    Postal code: 

Business Phone:    Ext:    Fax: 

Home or Cell Phone:    E-mail Address: 

Personal Information:

University Degree/s Held: 


Designations or certifications held: 

* Have you ever been convicted of a Criminal Offence for which you have not been granted a pardon?

* A positive answer to the above does not mean that you may not apply but be prepared for a delay in your registration while we investigate your circumstances.  

Questions? Type anything you have a question about here and we will get back to you.

Tuition Fees

Your first-year annual EPC membership fee is waived upon successful completion of Module 4.
After completing segment 4 students must complete and pass a written examination at an authorized testing centre before receiving their EPC designation.

Please select the module you wish to do at this time 


  Complete Program - (consists of all 4 modules) $1,095 + Applicable tax for your Province

  Module 1 - $295.00 + Applicable tax for your Province

  Module 2 - $295.00 + Applicable tax for your Province

  Module 3 - $295.00 + Applicable tax for your Province

  Module 4 - $295.00 + Applicable tax for your Province

Please select your desired method of payment:

For Credit Card Payment/s - We accept the following cards

Credit card information  

Card Number:
    Expiry Date    20  

I will Mail my Cheque        I will ICS my Cheque   

If you are paying by Cheque -
Your material will be shipped immediately upon receipt of your cheque

Make cheques payable to - CIEPS

Mail or ICS cheque/s to:

Suite 203, 4438 Ontario Street
Beamsville, ON  L0R 1B5

Note - Your designation will be granted when you have successfully passed the final exam.



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