Medicare & Social Benefits Class – November Sign-Up
Choose your class date, share your contact details, and add any questions so we can prepare for your visit.
Which class will you attend?
*
Wednesday, November 4, 6:00–7:15 p.m.
Wednesday, November 11, 6:00–7:15 p.m.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Will a spouse or guest attend with you?
*
Yes
No
Guest's name (if attending)
Any questions you'd like covered in class?
This class is not affiliated with the Social Security Administration or any government agency.
Reserve My Seat
Should be Empty: