You may print this form and fill it out legibly, or you may type* the requested information and then print the form.
4
Nonmember
Page ____ of ____
Attendance Record for AAMA CEUs
The last four digits of your Social Security number are required to register credits.
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*Typing directions:
Do not use abbreviations.
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1. Select the Hand tool.
Participants must attend a minimum of 90 percent of this educational activity/program.
2. Click on the page just to the right of the
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requested information, such as “Last
The attendance sheet can only be submitted by the program planner.
name:”.
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3. Type in the information.
Approval number (required): _________________________________________________
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4. Print the form immediately.
You cannot save what you type.
Program date: _____________________________________________________________
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Nonmembers only. If member, fill out the Member Attendance Record.
SSN (last four digits only): _________________________________
SSN (last four digits only): _________________________________
Last name: ______________________________________________
Last name: ______________________________________________
First name: ______________________________________________
First name: ______________________________________________
Middle initial: ___________________________________________
Middle initial: ___________________________________________
Address: ________________________________________________
Address: ________________________________________________
City/State/ZIP: __________________________________________
City/State/ZIP: __________________________________________
Phone: _________________________________________________
Phone: _________________________________________________
SSN (last four digits only): _________________________________
SSN (last four digits only): _________________________________
Last name: ______________________________________________
Last name: ______________________________________________
First name: ______________________________________________
First name: ______________________________________________
Middle initial: ___________________________________________
Middle initial: ___________________________________________
Address: ________________________________________________
Address: ________________________________________________
City/State/ZIP: __________________________________________
City/State/ZIP: __________________________________________
Phone: _________________________________________________
Phone: _________________________________________________
SSN (last four digits only): _________________________________
SSN (last four digits only): _________________________________
Last name: ______________________________________________
Last name: ______________________________________________
First name: ______________________________________________
First name: ______________________________________________
Middle initial: ___________________________________________
Middle initial: ___________________________________________
Address: ________________________________________________
Address: ________________________________________________
City/State/ZIP: __________________________________________
City/State/ZIP: __________________________________________
Phone: _________________________________________________
Phone: _________________________________________________
REV 02/13