Exit this survey

ISORAM Winter Course in Bariatric Medicine and Surgery Indication of Interest

Please note the registration fee will not include accommodation, breaks and lunch, as well as all syllabus and course materials.

Question Title

* 1. Yes I'm interested in attending! Please enter your contact information to receive additional information regarding the next ISORAM Winter Course in Bariatric Medicine and Surgery (February/March 2016.)

Name: *

City/Town:

State/Province:

Email Address: *

Phone Number: *

Question Title

* 2. Are there any specific topics would you most like to learn about or discuss?

Question Title

* 3. What is your discipline? Area of practice?