Register


Mentors Circle Registration





Membership Type

Online Mentors Circle Program $197 + HSTOnline Consecutive Returning Members: $177 + HSTEtobicoke Location New Members: $300 + HSTEtobicoke Location Consecutive Returning Members: $250 + HSTYes, Please count me in to try out the first session to see if it is for me


Your Information

  • First Name
  • Last Name
  • Address 1
  • Address 2
  • City
  • Province
  • Country
  • Postal Code
  • Email
  • Home Phone Number:
  • Cell Phone Number:
  • Referred by

Location:

Etobicoke (2403-1 Palace Pier Court)Online Program (Call details will be provided when registered)


Payment Method

Cheque (Payable to Courageous Living)Credit Card

Credit Card Information:

  • Name
  • Card Type
  • Number
  • Expiry Date

We will contact you by email with a receipt
and ticket confirmation.