Select Class Date * Medicare 101: Tuesday, January 27th from 6:30 pm - 8:00 pmMedicare 101: Saturday, January 31st from 9:30 am - 11:00 amSocial Security & Taxes: Tuesday, February 3rd from 6:30 pm - 9:00 pmSocial Security & Taxes: Saturday, February 7th from 9:30 am - 12:00 pmNotify me of upcoming class dates.
First Name *
Last Name *
Email Address *
Mobile Number *
Zip Code *
Are you bringing a guest? * YES - I'm bringing a guestNO - I'm attending alone
Friend/Spouse First & Last Name
Guest Relationship FriendSpouseFamily RelativeOther
SMS Text Message Opt-In By checking this box, you consent to be contacted by text regarding our services. Message and data rates may apply. Message frequency may vary. Text STOP to unsubscribe at any time.*
How did you hear about us? * I'm a client. I got invited though the mail. Milestone Educators Facebook Google From a friend Word of mouth Other
Comments