FSSR CLASS REGISTRATION
Financial Strategies for Successful Retirement
Name: Email:
Alternative/Personal Email
Street:
City
State Zip
Daytime Phone
Evening Phone
Fax
Spouse/Guest
Would you like a copy of the email ? No Yes Attention: Registration
Date of Class
Wednesdays (October 1, 8 & 15 from 6pm - 9pm) I am unable to attend the currently scheduled classes but would like to be notified on future classes.
If you do not live in Michigan but would like information on setting up a class for you check this box
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