REQUEST FORM

SUBMIT TICKET CLICK HERE	REQUEST FORM (30 DAYS AFTER COMPLETION) FILL OUT THE FORM BELOW Course(s) completed after January 2012 $10.00 CHARGE Course(s) completed in 2007, 2008, 2009, 2010, 2011 $25.00 CHARGE
Needs Test Reset Wrong info on Certificate Can't Print your Certificate Tech Support, Login Issues	Need Another Copy of Certificate Need Another Copy of Receipt Being Audited and Need A Copy Of Record

REQUEST FORM
If you need a copy of your Certificate, Receipt, Record of Attendance etc. Please fill out the form below.
If you are experience Technical issues please click here.

Todays Date: *
State you are License in: *
Full Name On the Account: *
License Number: *
Contact Phone number: *
Email Address:
Mailing Address, if you do not have a email address:
What is the name of the course you completed:
Around what date did you completed the class: *
Decribe what you need: *

(Specials, Coupons, Post cards, Additional Specials And Competitors prices will not be honored after you have completed the course and registration process.
All Specials, Coupons and Competitors prices must be presented and processed at the time of registration and payment.)


Refund Policy. Once a Course/Class have been Emailed, Mailed or Completed you will not be eligible for a refund.
If your class is not completed within 90 days from receipt then your course will be forfieted.

C.O.E. CONTINUING EDUCATION
P.O. BOX 35606
FAYETTEVILLE NC 28303

TECH SUPPORT: A REPRESENTATIVE WILL CONTACT YOU WITHIN 24 HRS. PLEASE SUBMIT A TICKET IF YOU ARE
*HAVING PROBLEMS PRINTING OR OPENING YOUR CERTIFICATE
*HAVE NOT RECEIVED YOUR CERTIFICATE
*EXPERIENCING ANY TECHNICAL ISSUES
UNABLE TO MAKE PAYMENT FOR A CLASS

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