CE Credit Submission - Individual

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number

Email Address *

CE Credit Activity

Date(s) of Activity/Event * +

Upload documentation here.

Number of CE credits being sought *

Activity Title *

Activity City or Indicate Distance Learning *

Activity State

Activity/CE Provider *

The Individual CE Submission fee for non-NVRA sponsored events is $25.00. *

I affirm that I have attended this seminar in its entirety and am seeking credits for work I have completed in accordance with the guidelines set forth in the Continuing Education Handbook of NVRA. *

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