Online Payment Click here in order to pay via Interac e-Transfer. For Credit Card or PayPal payments please use the form below. For amounts greater than $2500, please use the Interac e-Transfer method (contact the CCPE acounting department). Reference or invoice number I have no reference or invoice number. Object of payment*Please select an object of paymentPsychological consultationPsychological evaluationCase openingOther(s)Other object of payment* Professionnal's Name* First Name Last Name Your Name* First Name Last Name Your Email* Amount to pay (CAD)*Please enter only the number and use a dot as a decimal. Ex: 1250.00. Maximum payment amount: $ 2500. Transaction Total $ 0.00 Payment Method* Credit Card PayPal Adresse* Street Address City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code Credit Card*Card Details Nom du détenteur de la carte HiddenTransaction Date HiddenReceipt Number HiddenProfessional Notification Email HiddenProfessional Name HiddenProfessional Licence Number HiddenSupervisor Name HiddenSupervisor 2 Name HiddenSupervisor License Number HiddenSupervisor 2 License Number HiddenIs supervised? HiddenOrigin of professional name HiddenTrimed and cleaned entered number for comparison NameThis field is for validation purposes and should be left unchanged.
