Sample Certificate - cert.companyname

* NOTE: Some employer groups may not offer this program, please check with your Human Resources department before participating in this program.
Allow 8 to 10 weeks for your reimbursement to be processed.
Reimbursement requests that are incomplete may be delayed.

1
 Whatever text you want. You decide.
2
Member ID: cert.c1 Name: cert.first cert.last  
Primary Subscriber Name: cert.first cert.last  
Address: cert.address   Phone: cert.phone
City: cert.city State: cert.state Zip: cert.zip
Employer Name (if applicable): DB EMPLOYER ID  
3

Total Expected Reimbursement:           cert.c2          

Please attach proof of payment (copy of receipt or cancelled check).
Your refund request cannot be process without this..
5
 whatever you want
6
 whatever you want
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whatever you want
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whatever you want whatever you want whatever you want

 

 

 

More Stuff You can add. Make sure all links are absolute. Like

http://www.willclower.com/programs/media/images/whateverfileyouwant.jpg

Whatever you want

http://www.google.com

etc.