Registration: Canadian Interventional Pain Course

Please fill in the registration form below to pay through Paypal or by cheque in advance. Please note that no registrations will be processed until payment is received.

Contact Information
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Payment Amount
Registration Fees Fees
Lecture + Workshop 
Physician $1700.00
Resident / Student $800.00
Lecture Only
Physician $500.00
Allied Health $500.00
Resident / Student $250.00


I will be submitting the following fee: