LAAC: Central Coast Senior Legal Services Provider (SLSP) Regional Meeting Registration: May 31, 2013

1. Contact Information

Thank you so much for your interest in attending the Central Coast Regional Meeting for Senior Legal Services Providers and Advocates on May 31, 2013!

Please note that we are providing this meeting free of charge. If you discover that you are unable to attend after registering, please let us know immediately. Thank you for helping us conserve resources so that we can continue to offer these meetings in the future.

If you have any questions please contact Denise Watt, LAAC Program Coordinator, at dwatt@laaconline.org.

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* 1. Please remember to answer all questions

Full Name

Title

Organization

Office Address

Office City

Office State

Office Zip

Office phone number

County or Counties you serve

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* 2. Number of years as an advocate for older Californians:

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* 3. Do you have any suggestions for topics (especially topics specific to your region) that you would like to discuss with other providers in your area?

Topic suggestion 1

Topic suggestion 2

Topic suggestion 3

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* 1. Please remember to answer all questions

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* 2. Number of years as an advocate for older Californians:

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* 3. Do you have any suggestions for topics (especially topics specific to your region) that you would like to discuss with other providers in your area?

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* 4. Are you currently involved in any collaborations with other advocates in your county? If yes, please describe.