Seminar Registration

Free Informational Seminar on Bariatric Surgeries
Lap-Band System and Gastric Bypass

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 in West Springfield. All attendees must register.

Name:
Phone Number:
Email Address:
Number of People To Attend Seminar:

If you are unable to attend the evening seminars shown on the schedule below, please check the box "daytime by request" and our office will contact you.

Date of Seminar You'd Like to Attend: