Event Registration

Please fill out the following form to register for the PacificSource Medicare event or seminar below:

Medicare Advantage Plan Seminars
SELCO CCU - East Bend Branch
501 NE Bellevue Dr, Bend 97701
11/20/2025 - 10:30 am

Number of Attendees:

Attendee 1

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First Name

Last Name

Email Address

Member ID