Proof of Attendance Certificate Request Form

To request a copy of your certificate of completion please fill out the following form and submit it with your payment. If you attended in 2015 please email seminars@gilderlehrman.org with your request.

Contribution Amount *

PDF - $3.00

Mailed Hard Copy - $10.00

Both PDF and Mailed Hard Copy - $12.00

Total Amount

Email Address *

Request Information

School Name

Seminar Attended *

Year Attended *

Credit Card Information

Card Type

Card Number *

Security Code *

Expiration Date *

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *