CCFPAGPJ SECRETARIATOn-Demand On-Line CME Registration

Event Timing: Not applicable
Event Address: Online
Contact us at: 876-517-6636 or 876-386-1443 Email:

Please complete this form and submit for on demand, online CME
Do your Require:
There are cost for CME certificates for sessions accessed on-demand, amounts will be billed after sessions have been watched and confirmation is received that the sessions have been watched and post test completed where applicable
Please send a confirmation by email to us at or after submission of this document
Data Protection Notice: The AGPJ Secretariat is committed to protecting your privacy and ensuring the security of your personal data. The information collected in this form will be used for the sole purpose of processing your request for the our ondemand-online sessions and/or invitation to CME event activities. Your data will be stored securely and will not be shared with third parties without your explicit consent. By completing this form, you acknowledge and consent to the processing of your personal data for the specified purpose. For more information, you may call us at 876-517-6636 or email us at
A copy of your responses will be emailed to the address you provided.