Seminar Registration

Free Informational Seminar on Bariatric Surgeries
Laparoscopic Adjustable Gastric Band System,
Gastric Bypass and Sleeve Gastrectomy

Seminars are located at:
Hilton Garden Inn Springfield, Hall of Fame West
800 West Columbus Avenue, Springfield MA 01105
Tel: 413-886-8000.

Please complete the form below, and you will receive a confirmation email from Pioneer Valley Surgical with the specifics regarding the time and location of the seminar. All attendees must register. To avoid distractions during our presentation, no children under the age of 7 are allowed to attend our informational seminars. Seminars close when they reach maximum capacity.

Fields marked * are required.

Name *
Mailing address *
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Zip code *
Phone number *
Email address *
Height *
Weight *
Type of health insurance *
Insurance ID # *
Number of people to attend seminar *
How you found out about us *
Date of seminar you'd like to attend *

 

 

 

2 Medical Center Drive, Suite 404, Springfield, MA 01107 | Phone: 413.736.3163 FAX: 413.733.0206