Central Coast Commission for Senior Citizens

Attend a New to Medicare Seminar

The following form is a request for information about upcoming New to Medicare presentations. These presentations are for individuals who will be applying for Medicare Benefits in the next 6 months. The information provided at the presentation will help them understand he benefits and options available.

* (denotes required field)

First Name: *

Last Name: *

E-Mail Address: *

Phone Number *

Presentation Request

I am interested in attending an upcoming New to Medicare Presentation in:

Santa Barbara, Goleta, Carpinterina
Lompoc, Santa Ynez, Buellton, Solvang
Santa Maria & Guadalupe
5 Cities Area
San Luis Obispo
Morro Bay, Cayucos, Los Osos
Cambria
Atascadero, Paso Robles, Templeton

Additional information or questions

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