CEU Form

New CEU Submittal Form

Chapter Name

First Name

Last Name

Your Email

Phone

Guest Speaker(s)

Event/Topic Title

Date of Event

Event Start Time

Event End Time

Registration Deadline

Include Date and Time

Is there also a chapter meeting during this event?

Yes

Type of meeting, please check all that apply.

In Person Meeting

Zoom Meeting

Virtual Meeting (Microsoft Teams, etc.)

Only needed if you've checked Zoom or Virtual meeting above. What is the sign up link for this meeting?

Only needed if you've checked In Person meeting above. Please give the full address.

Fee For Member, Non-Member, Student

# of CEUs

Approved by AAMA

List Topics, Objectives & Any Additional Speaker Info

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