CEU Genius

CEU Provider Account Setup This information will be used for submission of continuing education reports and should match any other information you have provided to CEU approval agencies.
	Contact Information
Company Name:
Address:	zip:
Phone:
Fax:
Web Site:	(e.g.: www.ceugenius.com)

	Logo File Upload (optional - you can do this later)
	Note: Files MUST be PNG, JPG, or GIF! Images will be resized to 300 px on the longest side

CEU Provider Account Setup