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Webinar

Oct 2 2013

MDCH Resources Part I: Injury Prevention, Arthritis & Disability Health

Certificate Request

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Form Data

NID: 137

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Certificate Request Webform

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Certificate Instructions

Verify the information for your request below and certify that you completed the requirements to obtain a certificate for this activity. Then click Continue and complete the Evaluation for this activity.

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This is how your name will appear on your certificate.

CCMC Certificate Additional Data

Please provide the following additional information, which will be used for the purposes of distributing CCMC credit to you.

Information you enter here will be saved in your Dashboard Profile for use with future certificate requests.

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Signed,
Anonymous