CFAL Registration Form

Florida Department of Elder Affairs and AARP
Communities for a Lifetime

2008 Community Forum Registration

June 17, 2008
10:00 AM - 12:30 PM
Embassy Suites Hotel
555 N. Westshore Blvd.
Tampa, FL 33609

Contact Information: (Fields required are marked with *)

Prefix:

*Last Name:

*First Name:

Organization:

Title:

*Mailing Address:

Address Line 2 (optional):

*City:

*State:

*Zip Code:

*Telephone Number (with area code):

Fax Number (optional):

*Email:

This special event is FREE on behalf of the Florida Department of Elder Affairs, Communities for a Lifetime Bureau and its co-sponsor, AARP. Seating is limited. Information provided will be used to disseminate department updates and announcements.

Click the following link for Directions to Embassy Suites Hotel (You will arrive at the MapQuest Web site, where you will enter your starting location.)

For additional information, please call Plashette Barnes at (850) 414-2000 or e-mail communities@elderaffairs.org.

Please join us. We promise that you will be pleasantly received and will leave a much more informed community representative.

PREPARING FOR TOMORROW – TODAY