Certificate of Attendance Request
Please fill out this form to receive your Certificate of Attendance for the Fifth International Meeting on Internet & Audiology no later than May 14th, 2021.
What is your name and title, as you would like it to appear on the certificate? *
What is your email? (if we need to contact you with follow up questions) *
Which of the Internet&Audiology 2021 sessions did you attend on May 3rd (select all that apply)?
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Which of the Internet&Audiology 2021 sessions did you attend on May 4th (select all that apply)?
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Which of the Internet&Audiology 2021 sessions did you attend on May 5th (select all that apply)?
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Which of the Internet&Audiology 2021 sessions did you attend on May 6th (select all that apply)?
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Total minutes from all sessions attended (if you would like us to include this information)
Should we include the total time you attended in the Certificate? *
Is there anything else about your certificate format you would like to share?
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