Thank you for showing interest in CTDA's AIA CEU presentations. CTDA members completing the form below completely may schedule certified AIA CEU presentations for their customers. Each field below must be completed. Additionally, after the presentation, in order for the attendees to receive CEU credits from AIA, a list of all attendees and their corresponding AIA member numbers must be provided to CTDA.

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* 1. Company Contact Information:

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* 2. Date of Course presentation (must be at least four weeks from request)

Date

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* 3. Time of course presentation.

Time

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* 4. Name of presenter.

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