Seminar Attendance Form | Bates Retirement Services

WANT TO LEARN MORE INFORMATION ABOUT MEDICARE?

Join us for a seminar!

Our seminars are educational and we welcome all. Whether you're about to turn 65 or you're an experienced Medicare client, please feel free to fill out this form and join us.

FORM NAME: Seminar Attendance Form

Your Name

Your Phone Number

Your Email

Which Seminar Will You Attend?

April 8, 2026, Sun City, 1:00 PM May 14, 2026, Sun City West, 10:00 AM June 4, 2026, Peoria, 1:00 PM Need a private consultation. Send me info on upcoming seminars in my area. (type City in comment box.)

Number of attendees

Questions or Comments