Select the Luncheon
Central Virginia/Richmond Hampton Roads/Norfolk Virginia Brevard Broward Central Florida (Lake, Marion, Alachua, Putnam, Sumter) Hillsborough Miami/Dade Naples Orlando Palm Beach Pasco/Hernando Upper Pinellas Lower Pinellas Sarasota/Manatee Southwest FL (Charlotte + Lee) Treasure Coast (Martin, St. Lucie, Indian River) Charlotte Durham Raleigh, North Carolina Greensboro, North Carolina Winston-Salem, North Carolina Columbia, South Carolina
Business Name
Business Address
City, State
Zip Code
Email Address
Phone
Fax
Cell
Do you currently advertise with Senior Living Guide?
* Your must list the name/names and titles of those attending the luncheon: Name
Title
Name
Title
Name
Title
Name
Title
Name
Title
Participation Level
Social Worker (FREE, click here )
Case Manager (FREE, click here )
Sales tax included in rates above.
NO ADMITTANCE WITHOUT PRE-PAYMENT!
Additional Comments
If you are a sponsor, please add $35 for each extra attendee not included in your sponsorship.
(credit card)
When you click the SEND button below, you will be directed to Paypal to finish the registration process. If you would like to pay by check please click the SEND button below, close your browser window and mail a check and a copy of the completed registration form to Eventing Inc., 350 Mane Ct., Tarpon Springs, FL 34688. (you do not have to continue on with Paypal).
You will receive a confirmation e-mail within 24 hours.
Ensure that you do not have a spam filter on your e-mail that is prohibiting our messages from getting to you. Please make sure you have the following domain names and e-mail address added to your e-mail address book and allowed in your spam filters in order to ensure that you receive all relevant communications from eventinginc.com or eventing@tampabay.rr.com . If you didn't get your confirmation e-mail after 24 hours, check your spam folder! It's possible your e-mail client considered the message to be spam and automatically moved it.
Call if you have any questions.eventing@tampabay.rr.com )
To print and mail registration click below
