HEAD
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].
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
=======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].
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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