ELDA/COPE Registration Form (Fee $150.00)

Print out and mail to: COPE Testing Ltd. 7B Pleasant Boulevard, Box 957, Toronto, Ontario, M4T 1K2
(Note: this is a mailing address only)

Family name:	Given names:
Title:                                  (Mr. / Mrs. / Ms. / Dr.)	Gender:                              (M/F)
Home telephone number (including area code):
Work telephone number (including area code):
Date of Birth:                                  /               /               (YYYY/MM/DD) year / month / day
E-mail address (if available):
Street Address:
Suite:	City:
Province:	Postal Code:

Date of Test:

____ October 25, 2008

___  Send my results to Admissions & Awards, University of Toronto

___ Send my results to a Graduate Faculty / Department at the University of Toronto - name, address and contact person must be supplied below:

Name of University of Toronto Graduate Faculty / Department:

Contact Person:

Full Postal Address:

Official transcripts can be sent to your home address or the University of Toronto if requested after the test for a fee of $10.00 per transcript (complete Transcript form)

Results can be sent to institutions other than the University of Toronto after the test for a fee of $20.00 per transcript (complete Transcript form)

Have you remembered to include?	1. COPE Identification Statement (next page).
	2. One passport photo attached to Section A of the COPE Identification Statement.
Payment options:	3. Cheque or money order for $150.00 in Canadian Funds payable to COPE Testing Ltd or: Credit cards - use COPE Identification Statement

Proceed to COPE Identification Statement