LAP-BAND® Surgery in Indiana - Bariatric Surgery - Morbid Obesity Surgery

Seminar Registration Form

Attend a Free Seminar

We conduct free weight-loss seminars for prospective LAP-BAND® candidates on a regular basis. If you would like to register for a seminar, please complete this simple form to register for an upcoming program, or call us at 317-705-4355.

Seminar Registration Form
First Name
Last Name
Street Address
City
State
Zip Code
Telephone Number	Area Code first, like this example: 317-123-4567
Alternate Phone Number	Area Code first, like this example: 317-123-4567
E-mail Address
Seminar You Wish To Attend Click for available dates
Comments	Add any comments you might wish to make (optional).

All seminars are at the times and locations indicated on the support page.

Visit our Blog on Wordpress.com and say hello!

Get up off the couch and go do something! That's the first step to successful weight loss!
Find thousands of event listings and things to do in Indianapolis at: http://www.aroundindy.com.

LAP-BAND® is a registered trademark of Allergan, Inc.