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CNU 20 Certificate of Completion:

Please provide all information required.

The certificate includes both AIA and APA credits.
If you are claiming APA credit, please complete question 11.
If you are claiming AIA credit, please complete question 13.

Double check the spelling of the information you provide.
A certificate of completion will be mailed to you the week of May 28th 2012.

The deadline to request a certificate of completion is June 25th 2012.
To download the list of the CNU 20 Credits, visit
http://www.cnu.org/sites/www.cnu.org/files/cnu20_credit_list.pdf

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1. First Name (Required.)

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2. Last Name (Required.)

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3. Organization

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4. Address
 (Required.)

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5. City
 (Required.)

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6. State (Required.)

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7. Zip (Required.)

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8. Country

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9. Phone Number (Required.)

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10. Email (Required.)

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11. Total number of AIA Credits you are claiming (if any): (Required.)

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12. Total number of HSW Credits you are claiming (if any):

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13. Total number of APA Credits you are claiming (if any):

T