'The Importance of Safe Mobility to Achieving Developmental Milestones for Children Who Are Congenitally Blind or Severely Visually Impaired' CAOMS Webinar ACVREP CEU Registration Form

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Thank you for interest in this webinar. Please note that this is a registration form for CEUs for this webinar, however, is separate from registration to attend this webinar. If you have not yet registered to attend this webinar, register to attend at: https://us02web.zoom.us/meeting/register/tZEqcumvpjgtHtbUve6nZiUvwE__rgKiuAZ6

The Northern Chapter of the California Association of Orientation and Mobility Specialists (N-CAOMS) is proud to host this webinar with optional ACVREP CEUs available to participants. 1 ACVREP Credit will be provided at no charge for current CAOMS members, and at $15 for non-CAOMS members for this webinar.

You will get a link to the CEU Application form emailed to you after the webinar once your membership status or CEU payment has been confirmed.

If you are not a current CAOMS Member, there are a couple of payment options for you to consider in order to receive your ACVREP CEU Certificate for this webinar.

Option 1:
Pay $15 for 1 ACVREP CEUs for this presentation. Payment options are as follows:
- Pay via Venmo to current N-CAOMS Treasurer to Robert.Alminana.56@gmail.com
- Pay via Zelle to current N-CAOMS Treasurer to Robert.Alminana.56@gmail.com
- Pay via check, payable to 'CAOMS', mailed to: Summer Beasley, Re: CAOMS Webinar, PO Box 4082, Bremerton, WA 98312
- Other: Please e-mail the current N-CAOMS Membership Chair at ncaomsmembership@gmail.com with requests to make payments in alternate methods (i.e. purchase order through employer, etc.)

Option 2:
The ACVREP CEUs for this presentation are free to current CAOMS members. N-CAOMS regular membership is only $30 annually and is open to professionals nationwide. To learn more about N-CAOMS Membership:
- Visit www.caoms.org or https://sites.google.com/view/ncaomsmembership/home
- View the N-CAOMS Membership Google Form for details: https://forms.gle/U1svM4WrmfchYGx3A
- Email the N-CAOMS Membership Chair at ncaomsmembership@gmail.com with questions

If you have questions or need support, please contact N-CAOMS at ncaomsmembership@gmail.com.

Email *

First and Last Name: *

If you plan to dial in to this webinar, please provide phone number to confirm attendance:

CAOMS Membership Status: *

2021 Northern Chapter CAOMS Member

2021 Southern Chapter CAOMS Member

Not a current CAOMS Member, but would like to join for $30 for 2021 to get access to free CEUs and other CAOMS member benefits for the rest of this year

Not a current CAOMS Member and am interested in paying $15 for 1 CEU

Required

If you are not a current CAOMS member, how do you plan to pay for CEU Credits for this webinar? *

I am a 2021 CAOMS Member so the 1 ACVREP CEU Certificate is FREE

Join CAOMS for $30 by completing the membership form located at: https://forms.gle/U1svM4WrmfchYGx3A

Pay $15 for 1 CEU by paying via Venmo to current N-CAOMS Treasurer to Robert.Alminana.56@gmail.com

Pay $15 for 1 CEU by paying via Zelle to current N-CAOMS Treasurer to Robert.Alminana.56@gmail.com

Pay $15 via check for 1 CEU, payable to 'CAOMS', mailed to: Summer Beasley, Re: CAOMS Webinar, PO Box 4082, Bremerton, WA 98312

I plan to e-mail the current N-CAOMS Membership Chair at ncaomsmembership@gmail.com with requests to make payments in alternate methods (i.e. purchase order through employer, etc.)

A copy of your responses will be emailed to the address you provided.

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