Chapter CE Programs
Please complete if your program will have sponsorship and/or exhibitors
Activity Title
*
Date
*
-
Month
-
Day
Year
Date
Chapter
*
Social Work
Dietitian
Have you or do you intend to seek commercial support from a pharma or a device manufacturer for this activity?
*
Yes
No
Have you or do you intend to provide sponsorship opportunities for this activity?
*
Yes
No
Will there be exhibits at this activity?
*
Yes
No
Submit
Should be Empty: