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.

WORKSHOP IS FULL - please contact the office to be added to our waiting list or cancellation list. 416-586-4800 ext: 2931

Contact Information
Please indicate your category:
Category   Please select one

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: