PAYMENT AUTHORIZATION FORM
Section 1 - Test Fee $295.00 CDN(Note: the IELTS Test Fee for candidates taking the test in Calgary, Winnipeg and Montreal is $285.00 CDN)

$

NOTE: Candidate will receive one (1) Test Report Form at no charge mailed via Canada Post to home address.

Section 2 – Postage - Test Report Forms (TRF’s) to Receiving Organizations
Canada (Nation-wide) United States of America $3.00 per copy x #_____ of TRFs being mailed $5.00 per copy x #_____ of TRFs being mailed

Total:
*There is a mandatory courier charge of $60.00 to mail TRFs to overseas destinations.*

$ $ $

Section 3 – Courier Charges
Courier Charges
If you prefer that your results be sent by courier, please indicate below and include the applicable courier fees.

(Optional)
# TRF’s Self Destination (please check) Institutions listed on Application

Total
(Unit x # of TRF’s)

Unit Price per TRF

Provincial (within Ontario) National (within Canada) United States of America International (Overseas)*

$15.00 $25.00 $40.00 $60.00

Section 4 Study Materials
(Optional)
Insight Into IELTS IELTS Express Intermediate. Specimen Materials Top Tips For IELTS General Training Top Tips For IELTS Academic Courier Fee for each Additional Study Material $75.00 $40.00 $45.00 $50.00 $50.00 $5.00

Add Courier Fee
Study Materials are mailed via courier Ontario Canada USA International ($15.00) ($25.00) (40.00) (60.00)

Total
(Study Material + Courier Fee)

This fee only applies if you are ordering more than 1 study material.

Total Fees (Section 1+ Section 2 + Section 3 + Section 4)

TOTAL

$

Attach Money Order or Certified Cheque (made