Request Continuing Education Certificate

If you have participated in a Mediate.com University Course by viewing it online, or by watching a DVD, you may request a Continuing Education Certificate.

Name	first last
Email
I would like to Request a Certificate for a course I have completely viewed.	Confirm
The course I completely viewed is:
Attendance Codes-- (shorter courses do not have codes)
I viewed this course between the following dates:
Are you seeking CLE Credit (if applicable) for this course	- Select - Yes No
How did you view this course	Streaming Online DVD
Did you purchase this training?	Yes, I have already paid for the DVD and/or the Online Streaming Course No, I understand I will need to pay for the training before I may receive my certificate
State Bar #, If you have one:
Comments & Questions:
Verification (to make sure you're human) Enter the text you see in image (or refresh for new text)
Note: Please do not include any URLs in form.

Thank you for your request.

You will be sent your certificate as an attached PDF file to the email address you used to register for this training.