CME Certificate Name* First Last Title Email* When did you enroll in Burn Bright or Life By Design?* MM slash DD slash YYYY How long did you enroll in Burn Bright or Life By Design?*more than 12 month after First signupless than 12 month after First signupYou must be member of Burn Bright or Life By Design for 12 months to receive CME. Once you have passed the 12 month mark, please fill in this form again and your CME certificate will be sent to you.
