Workshop Registration First Name* Last Name* Email Address* Enter Email Confirm Email Phone Number*Zip Code How did you hear about us?*How did you hear about us?PostcardCompanyGoogleReferralOtherWhen are you eligible for Medicare (birth month)?*When are you eligible for Medicare (birth month)?JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberDates*- Select a Workshop -Thursday, March 30th – 6:00pm (Coon Rapids)Thursday, April 20th - 6:00pm (Edina)Tuesday, April 25th – 6:00pm (Eagan)Tuesday, May 16th – 6:00pm (Shoreview)Tuesday, May 23rd – 6:00pm (Maplewood)Tuesday, June 13th – 6:00pm (Minnetonka)Thursday, June 22nd – 6:00pm (Bloomington)PhoneThis field is for validation purposes and should be left unchanged.