If you are a member of
a specific group that has arranged a customized workshop with us, please
fill out the registration form below. The fields marked with an asterisk (*) must be filled in order to complete your registration.

If you do not want to complete this form online, you can also print it, fill it out by hand, and fax it to us at: 519-942-3305

A NOTE ABOUT REGISTERING: We are in the process of setting up an online shopping cart so that you can register securely by credit card online. In the meantime, kindly fill in the information below, then call or fax us with your credit card number.

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Upcoming Workshop
Workshop Interest Register Here
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Interested in attending one of our Workshops?

If you would like to be included in one of our upcoming Workshops, please write us and we will add you to our mailing list. You will be personally notified as soon as the next workshop date of your choice is set. In the meanitme, we recommend that you read about our personalized couple counselling Couple Retreats.

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Personal Information:

First Name*:

Last Name*:

Street Address*:

City*:

Province/State*:

Postal/Zip Code*:

Bus. Phone:

Home Phone*:

Fax:

E-mail Address*:



Friend: (Please fill in for your friend if you plan on attending together)

Friend's First Name:

Last Name:

Street Address:

City:

Province/State:

Postal/Zip Code:

Bus. Phone:

Home Phone:

Fax:

E-mail Address:




Workshops: (Please select the workshop you would like to attend)

Singles Workshop:  "Creating a Love That Will Last"

TeleWorkshop: "Paradox of Love: How to Stay Separate and Still be Connected" (5-part series)

Other (Corporate event/seminar -- describe below)


Please Note: If you are interested in our 3-day one couple-only Couple Intensive Retreat, please go to the Inquiry Page or call us at 1-877-897-2333.

Payment:

Hold your space by registering early. Cancellation Policy: Full refund less administrative fee of $50 if cancel workshop registration two weeks prior to start date. Cancellations after that, as well as "no shows", are not eligible for refund, but fees may be applied towards registration in another Couple Enrichment Inc. retreat or workshop within the next 12 months.

Call us for payment by credit card.
I am mailing a cheque/money order in the amount of:

Fee: + 5% GST: =
If you are mailing a cheque or money order, your registration will be confirmed upon receipt of payment.

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How to Contact Us



Couple Enrichment Inc.
RR5, 348451 - 15 Sideroad, Mono
Orangeville, ON L9W 2Z2
Canada


Contact us by email


Telephone:

(Toll Free)
1-877-897-2333

Orangeville Local Line:
519-942-3338

Fax:
519-942-3305


We are located one hour north of Toronto in the beautiful Hockley Valley, Ontario CANADA

Serving the GTA (Greater Toronto Area), our home-based counselling office is in Mono Township (Hwy 9 and Airport Road), just east of Orangeville, ON

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We serve the entire GTA, including Ajax, East York, Etobicoke, Mississauga, Markham, Newmarket, North York, Richmond Hill, Scarborough, Thornhill, Toronto, Alliston, Amaranth, Aurora, Barrie, Bolton, Brampton, Burlington, Caledon, Caledon East, Collingwood, Erin, Georgetown, Guelph, Hamilton, Hockley Valley, London, Mono, North Bay, St. Thomas, Shelburne, Sudbury, Oakville, Orangeville, Shelburne, and Tottenham.

Easily accessible to the Toronto International Airport. Our clients have come from as far away as Australia, Dubai, Great Britain, Jamaica, and in the United States, from: Alaska , Alabama, California, Colorado, Florida, New York, New Jersey, Massachusetts, Maryland, Michigan, Ohio, Phoenix, Pennsylvania, and Texas. In Canada, we have counselled clients from the east to west coast, beginning in Newfoundland. They have come from Prince Edward Island, Nova Scotia, New Brunswick, Quebec, Ontario, Alberta, and even the North West Territories.