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 Date -Thursday, May 26th – 6:00pmTuesday, June 21st - 6:00pmTuesday, July 12th - 6:00pmThursday, August 18th – 6:00pmTuesday, September 15th – 6:00pmThursday, October 20th – 6:00pmTuesday, November 8th - 6:00pmTuesday, December 13th – 6:00pmEmailThis field is for validation purposes and should be left unchanged.