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Medicare Workshop Registration
Medicare Workshop Registration
Name
*
Name
First Name
First Name
Last Name
Last Name
Birthdate
Address
Line 2
City
State
Zip Code
Home Phone
*
Work Phone
Email
*
Date of workshop you would like to attend
*
May 8, 2025
How did you hear about this event?
Friend or colleague
Social Media
Other
Number of seats needed
*
1
2
3
4
5
Is there anything specific about Medicare you have questions on, or would like to learn more about? Please mention what they are here, so we can better serve you.
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Home
About Us
Services
Insurance
ACA Health Plans
Short-Term Plans
Supplemental Health Insurance
Indemnity Plans
Health Share Programs
Employer Group Plans
Medicare
Dental
Vision
Life Insurance
Tax Filing
Team
Blog
Contact Us
OFFICE@SHRESTHAINSURANCE.COM
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(214) 609-2889
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