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Aging Well Expo Attendee RSVP
Date & Time: Tuesday, September 27 from 8:30am-12:30pm
Event Address: Lakeway Activity Center | 105 Cross Creek, Lakeway, TX 78734
Questions? Contact us at 512-766-3658
* Required
Can you attend?
*
Yes, I'll be there
Sorry, can't make it
What are the names of people attending?
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Your answer
What is the phone number for attendee confirmation, event updates and reminders?
*
Your answer
What is the email address for attendee confirmation, event updates and reminders?
*
Your answer
How did you hear about this event?
*
Website
Friend
Email
Advertisement
Newspaper
Business Advertisement
Facebook
Would you like complementary lunch?
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Yes
No
We will be offering on-site flu shots for attendees! (**NOTE: completed vaccine consent forms, Medicare cards, IDs, and prescription insurance cards will be needed for each person receiving a flu shot)
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Yes, Under 65 years Old
Yes, Over 65 Years Old
No
Email address so that we can email you the flu shot consent form
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Your answer
Comments and/or questions
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Your answer
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