ADRC Snack and Learn Registration
Orange County Senior Living Needs Survey — July 29, 2014

Topic: "Orange County Senior Living Needs Survey"

Tuesday, July 29, 2014
CalOptima
505 City Parkway West, Room 108-N and 109-N
Orange CA 92868

Check-in: 2:30–3 p.m. * Program: 3–4:30 p.m.

Registration Deadline: Monday, July 28, 2014

There is no charge for this program. Pre-registration is highly recommended. Space is limited.

For information, please call Lisa Nguyen at 714-246-8809, or email lisanguyen@caloptima.org.

Please bring your business cards and any information about your organization's programs, services and events to distribute. We expect 50–100 attendees.

Question Title

* 1. Please complete the following information:

First Name:

Last Name:

Title (please write out acronyms):

Organization (please write out acronyms):

Address:

City:

ZIP:

E-mail Address:

Phone Number:

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* 2. Would you like to be listed in the Attendee Directory?

Yes

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* 3. How many Snack and Learn events have you attended in the past?

4 or more

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* 4. Please specify any accommodation needs.

Presented by The Aging and Disability Resource Connection of Orange County * CalOptima
County of Orange Office on Aging * Dayle McIntosh Center