ADA Antitrust Primer for Association Members

1. ADA Healthy Practice Webinar: Antitrust Primer

Please complete the following required demographic information and assessment in order to be eligible for continuing education (CE) credit AAA.

Please contact Stephanie Czuhajewski at sczuhajewski@audiologist.org if you have any questions.

Thank You!

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* 1. First Name

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* 2. Last Name

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* 3. Degree or Designation

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* 4. E-mail Address

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* 5. Telephone Number

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* 6. Complete Address

Street Address

City

State

Zip

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* 7. AAA ID Number (required if applying for AAA-approved CE credit)

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* 8. I require only a general certificate of completion for this course.

Yes