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Home
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Getting Started
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Seminar Registration
Seminar Registration
Date and Time of Seminar
-- Please Select Seminar Schedule --
February 7, 2012, 1:00 PM - 2:30 PM
February 8, 2012, 6:00 PM - 7:30 PM
February 20, 2012, 6:00 PM - 7:30 PM
February 25, 2012, 9:30 AM - 11:00 AM
Title:
Weight Loss Surgery Information Session
Where:
Brickhouse Auditorium at Sentara Norfolk General Hospital
600 Gresham Drive, Norfolk, VA 23507
Click here for directions
REGISTER NOW
Date of Birth
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Height
feet
inches
Weight
pounds
First Name
*
Last Name
*
Address 1
*
Address 2
City
*
State
*
-- select a state --
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Zip
*
Primary Phone
*
Alternate Phone
E-mail Address
Others
Insurance
Excluding yourself, how many guests will you bring?
*
---
0
1
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Height:
'
"
Weight:
lbs
Your BMI:
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. Serving all of Southside, Peninsula, and NE North Carolina including Norfolk, Virginia Beach, Chesapeake, Portsmouth, Suffolk, Franklin, Hampton, Newport News, Williamsburg, Outer Banks, Edenton and Eastern Shore.