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Sign Up for Seminar
Sign Up for Seminar
Seminar Details
Date and Time
of Seminar
February 15, 2012, 5:30 PM - 7:30 PM
February 27, 2012, 6:30 PM - 8:30 PM
March 1, 2012, 1:00 PM - 3:00 PM
March 5, 2012, 6:30 PM - 8:30 PM
March 14, 2012, 5:30 PM - 7:30 PM
March 19, 2012, 6:30 PM - 8:30 PM
March 28, 2012, 5:30 PM - 7:30 PM
April 4, 2012, 5:30 PM - 7:30 PM
April 9, 2012, 6:30 PM - 8:30 PM
April 18, 2012, 5:30 PM - 7:30 PM
April 26, 2012, 1:00 PM - 3:00 PM
April 30, 2012, 6:30 PM - 8:30 PM
May 2, 2012, 5:30 PM - 7:30 PM
May 7, 2012, 6:30 PM - 8:30 PM
May 16, 2012, 5:30 PM - 7:30 PM
May 21, 2012, 6:30 PM - 8:30 PM
May 31, 2012, 1:00 PM - 3:00 PM
June 4, 2012, 6:30 PM - 8:30 PM
June 6, 2012, 5:30 PM - 7:30 PM
June 25, 2012, 6:30 PM - 8:30 PM
June 28, 2012, 1:00 PM - 3:00 PM
July 9, 2012, 6:30 PM - 8:30 PM
July 18, 2012, 5:30 PM - 7:30 PM
July 26, 2012, 1:00 PM - 3:00 PM
July 30, 2012, 6:30 PM - 8:30 PM
August 1, 2012, 5:30 PM - 7:30 PM
August 6, 2012, 6:30 PM - 8:30 PM
August 15, 2012, 5:30 PM - 7:30 PM
August 27, 2012, 6:30 PM - 8:30 PM
September 6, 2012, 1:00 PM - 3:00 PM
September 10, 2012, 6:30 PM - 8:30 PM
September 12, 2012, 5:30 PM - 7:30 PM
September 19, 2012, 5:30 PM - 7:30 PM
September 24, 2012, 6:30 PM - 8:30 PM
October 1, 2012, 6:30 PM - 8:30 PM
October 10, 2012, 5:30 PM - 7:30 PM
October 18, 2012, 1:00 PM - 3:00 PM
October 24, 2012, 5:30 PM - 7:30 PM
October 29, 2012, 6:30 PM - 8:30 PM
November 5, 2012, 6:30 PM - 8:30 PM
November 7, 2012, 5:30 PM - 7:30 PM
November 19, 2012, 6:30 PM - 8:30 PM
November 28, 2012, 5:30 PM - 7:30 PM
December 3, 2012, 6:30 PM - 8:30 PM
December 12, 2012, 5:30 PM - 7:30 PM
December 17, 2012, 6:30 PM - 8:30 PM
Title:
Inforamtion Seminar
Host:
Donovan Teel II,M.D.
Where:
Miami Valley South Health Center
REGISTER NOW
Patient Information
Date of Birth
*
- month -
January
February
March
April
May
June
July
August
September
October
November
December
- day -
1
2
3
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5
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7
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12
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16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
- year -
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
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1959
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1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
Height
*
feet
inches
Weight
*
pounds
First Name
*
Last Name
*
Gender
*
-- select a gender --
Male
Female
Contact Information
Address 1
*
Address 2
City
*
State
*
-- select state --
ALABAMA
ALASKA
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
FLORIDA
GEORGIA
HAWAII
IDAHO
ILLINOIS
INDIANA
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
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
Zip
*
Country
United States of America
Primary Phone
*
Alternate Phone
E-mail Address
*
Others
Insurance
Excluding yourself,
how many guests
will you bring?
*
---
0
1
2
3
4
The First Step is Saying Yes.
1-866-338-SLIM
Am I a Candidate?
Support for You Every Step of the Way