First Name:	Last Name:
Address:
City:		State:	Zip:
County:		District:
Phone:	E-mail:

Registration: Please complete one form for each convention attendee

w EARLY BIRD registration deadline is Friday, June 18, 2008. Early bird rates are: $160 for the full convention, $100 for Thursday only, July 10^th, and $75 for Friday only, July 11^th.

w LATE REGISTRATION begins on June 19, 2008. Full convention rates will be $185, Thursday only will be $125, and Friday only will be $100.

w The registration DEADLINE is Thursday, July 3, 2008.

ü Your Registration Choices		Early Bird	Late Registration
	w Full Convention, July 10 - 11	$160	$185	$
	w One Day Only: Thursday, July 10 ~ Includes Luncheon Banquet and Awards Dinner Banquet with Keynote Speakers Bart and Cherry Starr	$100	$125	$
	w One Day Only: Friday, July 11 ~ Includes Luncheon Banquet	$75	$100	$
	w I will be going on a Field Trip to Lambeau Field and Hall of Fame Museum ~ Thursday afternoon (includes entry fees and transportation)	$25	$25	$
	w Senior Achievement Awards BANQUET ONLY ~ Thursday evening	$30	$30	$
	w Senior Statesmanship Breakfast Friday, July 11 (For Senior Statesmanship Alumni only, no extra cost)	$0	$0	$

Prices listed are per person. The full convention includes activities, workshops, exhibit hall, Silent Auction, 2 lunch banquets, a chocolate fantasy break, an evening reception and cash bar, and the Senior Achievement Awards Banquet with Keynote Speakers: Bart and Cherry Starr.

ü Your Membership Choices
		Yes! I want an Individual Membership to CWAG! ~ $25/household of 2			$
		I’m committed! I want a Lifetime Membership to CWAG ~ $250/household of 2			$
		I will renew my Individual Membership to CWAG ~ $25/household of 2			$
		I want to help! Please accept my generous donation!			$
		Total Enclosed			$
ü Your Voting Choices (choose only one option)
	I will be voting as an Individual or Lifetime ~ Member Membership Number:_____________			I will be voting as a member of a CWAG Member Group ~ Name of group:______________________________
ü Your Special Needs
	Wheelchair		Vegetarian Meals

Refund Policy: Cancellations prior to July 3, 2008 will be refunded, minus a $30 handling charge. No refunds for cancellations made after close of business on July 3, 2008.

HOTEL: Don’t forget to make your hotel reservations! Please request the CWAG Special Convention rates when making your reservation. Convention room rates will be available until June 13, 2008. Radisson Hotel & Conference Center Green Bay ~ 2040 Airport Drive, Green Bay Wisconsin 54313. Reservations: 920.494.7300

For Office Use Only: Date Rec’d _________________ Check. # ____________________ Total Rec’d_____________________

Balance Due____________________ Refund_____________________

Workshops: (Please register for only ONE in each session)

Session A: Thursday, July 10, 10:45 ~ 11:45 a.m.

Senior Issues Forum ~ Jan Witt, National Committee to Preserve Social Security and Medicare

The Future of SeniorCare ~ DHFS

V.O.T.E.: Voice of the Elderly ~ Tom Frazier

Decision Making:  Agent  vs. Guardian ~ Lonnie Lief, Project Attorney, Guardianship Support Center

Structural Changes in the Aging Network ~ Gail Schwersenska, Director, Office on Aging, Wisconsin Department of Health and Family Services and Bob Kellerman, Executive Director, Age Advantage

The Real Cost of Living: Wisconsin’s New Elder Economic Index ~ Betsy Abramson, Consultant, WI Women’s Network

Session B: Thursday, July 10, 2:30 ~ 3:30 p.m. ~ Session limited to the first 40 people to sign up

Put Your Home to Work for You ~ Michael J. Odden, Vice President, Reverse Mortgage Product Manager, M&I Bank

Electronic Health Records ~ Thomas Berg, General Manager, Strategic Relations and Information Systems, Marshfield Clinic Electronic Health Records

Good Questions for Good Health ~ Cheryl McIlquham, Director, Office of Policy Initiatives and Budget, Wisconsin Department of Health and Family Services, and Michele Erikson, Executive Director, Wisconsin Literacy, Inc.

Session C: Thursday, July 10, 3:45 ~ 4:45 p.m. ~ Session limited to the first 40 people to sign up

Put Your Home to Work for You ~ Michael J. Odden, Vice President, Reverse Mortgage Product Manager, M&I Bank

Electronic Health Records ~ Thomas Berg, General Manager, Strategic Relations and Information Systems, Marshfield Clinic Electronic Health Records

Good Questions for Good Health ~ Cheryl McIlquham, Director, Office of Policy Initiatives and Budget, Wisconsin Department of Health and Family Services, and Michele Erikson, Executive Director, Wisconsin Literacy, Inc.

Session D: Friday, July 11, 9:00-10:00 a.m.

Family Care is Coming: What it Means for You ~ Devon Christensen, Brown County ADRC and Stephanie Stein, Director, Milwaukee County Department on Aging

Medicare:  Are We Ready for the Age Tsunami? ~ Jan Witt, National Committee to Preserve Social Security and Medicare

License to Steal? Power of Attorney Abuse ~ John Hendrick, Project Attorney, Elder Financial Empowerment Project

Ensuring Integrity in the Medicare Program: How You Can Help ~ Elizabeth Conrad, Community Educator, Wisconsin’s SMP

Take Control with Exercise: The Arthritis Foundation Exercise Program

Savvy Shopping in the Medicare Market ~ Holin Kennen and Phoebe Hefko, Dane County Benefit Specialists

Public Hearing on an Amendment to the Wisconsin State Aging Plan ~ Gail Schwersenska, Director, Office on Aging, Jim Schmidlkofer, Aging Network Planner, Office on Aging

Sick and Tired of being Sick and Tired? Prevention Programs for Your Health