Register below

After you fill out registration form below you will automatically receive a confirmation by e-mail. You may pay online through paypal at the bottom of this form.  Paypal will charge 3.8% for transactions.  You may register online and send in a check. Do not include this extra transaction fee.  You must send a copy of registration with your check.  Eventing has many events and cannot track down your check if it is not with a registration form. Payment must be made on or before event date for entry.

All practicing Social Workers and Case Managers are free. Everyone must pre-register below. Non SW's or CM's may pay online through paypal or send in a check. You do not have to be a paypal customer to pay by credit card.


(No dashes) (Include 1 + area code)

(No dashes) (This must be a working fax number) (Include 1 + area code)

(No dashes) (Include 1 + area code)

Do you currently advertise with Senior Living Guide?

* List Below the names of those attending the luncheon:
Social Worker or Case Manager (Free)
Single luncheon ($40)
Adopt A Table Sponsorship ($300.00) Includes one lunch
Silver Sponsorship ($550) Includes one lunch
Gold Sponsorship ($650) Includes two lunches
Platinum Sponsorship ($750) Includes two lunches
Diamond Sponsorship ($1150) Includes four lunches
Corporate Sponsorship ($6000)

Attendee Participation Level Last Name First Name Title Email

Sales tax included in rates above.


Eventing Fax Eventing Email Senior Living Guide
Networking meeting Mailing Phone Other

(credit card)
Amount Due (if SW or CM please enter 0.00) $ (ex : 40.00)

* For security reasons type in the correct answer:

5 + 1 =

Sponsors Only: Fill out the following

( Use dashes )

If paying by credit card, Please do not include the service fee which is 3.8% of your total.

When you click the SEND button below, you will be directed to Paypal to finish the registration process. If you would like to pay by check please click the SEND button below, close your browser window and mail a check and a copy of the completed registration form to Eventing Inc., 350 Mane Ct., Tarpon Springs, FL 34688. (you do not have to continue on with Paypal).

You will receive a confirmation e-mail within 24 hours.

Ensure that you do not have a spam filter on your e-mail that is prohibiting our messages from getting to you. Please make sure you have the following domain names and e-mail address added to your e-mail address book and allowed in your spam filters in order to ensure that you receive all relevant communications from or If you didn't get your confirmation e-mail after 24 hours, check your spam folder! It's possible your e-mail client considered the message to be spam and automatically moved it.

Call if you have any questions.
Thank you,
727-656-4566 (email:

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To print and mail registration click below
Print PDF registration form