Registration

Register For A FREE Medicaid Planning Workshop.

To register for one of our upcoming workshops, just complete and submit this form…or register by phone at 315-793-3622. There’s no cost or obligation. Do it today!

Note: Seating is limited. Please call 24 hours in advance if you need to cancel your reservations.

Workshop Registration Form

First Name:
Last Name:
Address:
City:
State:	Zip:
Daytime Phone:
email:

I plan to attend the Estate Planning Law Center workshop on this date:	/ / (mm/dd/yyyy)
The following people will be attending the seminar with me.
First Name: Last Name: First Name: Last Name: First Name: Last Name: First Name: Last Name:
Comments/Questions:

You can also contact us at:

Estate Planning Law Center
David J. Zumpano, CPA, Esq.
Legacy Building
555 French Road
New Hartford, NY 13413

Phone: 315.793.3622