Redefine Retirement: Get Covered! Understanding and Enrolling in Medicare RSVP

Geared towards those 50 and older. Dietary laws observed.

In partnership with Jewish Family Service, JVS Career Services, and Mayerson JCC. Sponsored by AgeWell Cincinnati.

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* 1. Name

Name

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* 2. Contact Information

Email Address

Phone Number

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* 3. Birth Year

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* 4. Address

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

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* 5. What level of confidence do you have in your ability to understand and sign up for the Medicare benefits that are right for you? 1 being not at all confident and 5 being very confident.

1

2

3

4

5

1

2

3

4

5

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* 6. What other topics pertaining to retirement would you like to know more about?

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* 7. Would you like to register another attendee?

Yes

No