Bariatric Weight Loss Surgery Virtual Seminar - Registration Event Date* - Select Event Date - June 1, 2020 - 5:00pm June 2, 2020 - 5:00pm June 16, 2020 - 5:00pm June 22, 2020 - 5:00pm June 29, 2020 - 5:00pm July 13, 2020 - 5:00pm July 14, 2020 - 5:00pm July 14, 2020 - 5:00pm July 20, 2020 - 5:00pm July 28, 2020 - 5:00pm August 4, 2020 - 5:00pm First Name* Last Name* * Required Address* * Required Address 2 City* * Required State* Select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Guam Hawaii Idaho Illinois Indiana International Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington, DC West Virginia Wisconsin Wyoming * Required Zip Code* * Required Email Address* * Required Phone* * Required Invalid Phone Number Alt Phone Invalid Phone Number Gender MaleFemale How Did You Hear About Us?* Select Internet Search From a Friend Healthcare Provider From a Caregiver From Newspaper Other Register