Form

Request a Certificate of Attendance for an MISD Webcast (1.5 hours)

Full Name *

First Name Last Name

E-mail *

Employer

Title of Webcast Purchased *

Date of Rental *

- Month - Day Year

Was this an individual or group purchase? *

Please forward a copy of your Vimeo receipt to online-ed@misdami.org.

Are you the person who purchased, or a group member?

Please forward a copy of your Vimeo receipt to online-ed@misdami.org and include a list of the group members.

I certify that I have viewed this webcast *

How did you hear about this webcast? *

Comments/Suggestions