<<<<<<< HEAD AMERICAN

Mediterranean Wellness Program

Certificate of Completion

Congratulations cert.first!

You have completed at least 80% of the Mediterranean Wellness PATH Program and now are eligible to submit THIS DOCUMENT to receive [company incentive reward here].

Submitting your Completion Certificate is easy

Simply enter your Company ID Number in the space provided, sign and date the form and send us your claim. Your claim will be processed under the Plan’s Nutritional
Counseling Benefit.

Member First Name

cert.first

Member Last Name

cert.last

Company ID Number

cert.c1

Program Start Date

Auto populates

Please submit your Completion Certificate through one of the following methods:

Just send this via email to: [company email address]

2020 Ardmore Blvd, Ste. 211 Pittsburgh, PA 15221

412.351.3360 www.willclower.com

======= AMERICAN

Mediterranean Wellness Program

Certificate of Completion

Congratulations cert.first!

You have completed at least 80% of the Mediterranean Wellness PATH Program and now are eligible to submit THIS DOCUMENT to receive [company incentive reward here].

Submitting your Completion Certificate is easy

Simply enter your Company ID Number in the space provided, sign and date the form and send us your claim. Your claim will be processed under the Plan’s Nutritional
Counseling Benefit.

Member First Name

cert.first

Member Last Name

cert.last

Company ID Number

cert.c1

Program Start Date

Auto populates

Please submit your Completion Certificate through one of the following methods:

Just send this via email to: [company email address]

2020 Ardmore Blvd, Ste. 211 Pittsburgh, PA 15221

412.351.3360 www.willclower.com

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