Program or Event Request Form

Use this form to request to have CEU Institute accredit your program/event for CE/CLE/CPE credits. Providing as much information below will allow us to serve you best.  If you are unsure of the information requested or have questions, simply add a memo and provide your contact information at the bottom of this form and we will contact you.   

This form should not be used to register for a program/event or to request credits for a program.  

Date & Location of Event

(Hotel, Event Center, Law Firm, Insurance Company, etc.)

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Topic & Venue

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Audience Information

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Speaker Information

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Individual Making Request

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Click or drag files to this area to upload. You can upload up to 5 files.
Upload outlines, presentations, speaker CV or other pertinent documentation.