CMHRC | Certificate of Attendance Request
CMHRC's live webinar and seminar events are free to attend. Certificates can be requested for $5. Use this form to request a certificate of attendance for one of our live webinars or clinical seminars. We use the information collected below to ensure that we are able to contact and communicate with our customers effectively. This information is never shared.
My Products
prev
next
( X )
Certificate of Attendance
Certificate of attendance for webinars, clinical seminars, and other online events requested by friends, family, or loved ones.
$
5.00
Payment Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Role
*
Family
Community Partner
Media
Other
Families: I am a(n):
Individual living with mental illness
Caregiver
Cousin
Grandparent
Friend
Parent
Sibling
Spouse
Uncle/Aunt
Other
Services
*
Webinar
Clinical Seminiar
Book Club
Event Attended - Certificate Requested For:
*
Please share your thoughts about the event you attended.
I understand that by requesting a certificate I am authorizing CMHRC to send me emails and other communications relevant to their work and mission.
*
Yes, I agree to receive emails from CMHRC
Please verify that you are human
*
Submit
Should be Empty: