Canadian Institute of English - Canadian Certificate Reorder Form

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Canadian Certificate & Manual Reorder Form

Replacement Certificates and Manuals
If you have attended our course and have received a certificate but the certificate and/or TESOL manual
you received at the end of the course has been lost or damaged, you may receive a new one.
The charge for this service is $50 CAN for the certificate and $50 CAN for the manual.

Order Form

Please complete this 2-part form

Step 1 - General Information and Course Date
(after filling in Step 1, you will be transferred to the secure server for Step 2 - The Secure Transaction)
Please note that for security reasons, the secure online payment system will not accept more than one transaction from the same credit card number within the same 24 hour period.

Complete Name:
Street Address:
City:
Province/State:	(2 letter Abbreviation)
Postal/Zipcode:
Country:	(2 letter Country Code)
Home Telephone:
Work Telephone: (or alternate telephone - optional)
Fax: (optional)
Email:
What would you like to order?
	Replacement TESOL Certificate ($50)
	Replacement SLAM Certificate ($50) Language:
	Replacement Manual ($50)

Before you click on the button, be sure you have filled in all of the fields above and that your email address is correct. Otherwise, you won't be able to receive the email confirmation of your order.

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