Program or Event Request Form

Use this form to request CE/CLE/CPE accreditation of your onsite program, webinar, seminar, or conference event.  Providing as much information below will allow CEU Institute 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.   If you would like to use a paper request form, you can download HERE.

This form should not be used to register for an on-demand program or a webinar.

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.