CMHRC Certificate of Attendance Request

CMHRC | Certificate of Attendance Request

CMHRC's live webinar and seminar events are free to attend. Certificates of attendance can be requested for a $5 preparation fee. These certificates do not include CE credits for professionals. 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.

Certificate of Attendance

Certificate of attendance for webinars, clinical seminars, and other online events requested by friends, family, or loved ones.

$5.00

Total

$0.00

Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Role
Families: I am a(n):
Services
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.
Please verify that you are human
Should be Empty:

CMHRC | Certificate of Attendance Request