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Introduction to Medicare Seminar
May 1st 2025 5:30 pm at the Grandville Library Community Room
Please note this is an educational event only. You will not be able to enroll in a plan during this meeting. To schedule an enrollment please contact our office at 616-970-2503.
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1.
Full Name
(Required.)
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2.
In the unforeseen event the seminar must be cancelled we will contact you. What is your...
(Required.)
Email Address
Phone Number
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3.
Will you be bringing a guest?
(Required.)
Just me!
1 guest
2 guests
Other (please specify)
4.
Do you have any specific questions you would like addressed during this meeting?
*
5.
Who referred you to this event?
(Required.)
Lydia
Matthew
Jevon
Kathy
Karla
Stephanie
Other (please specify)