Home
About Us
Surgeons
Our Staff
Seminars
Insurance
Financing
Corporate Benefits
Contact Us
Locations & Directions
Cataract Removal
Clear View Surgery Center
Glaucoma
Dry Eyes
Diabetic Retinopathy
Macular Degeneration
Laser Vision Correction
Instralase
Allgretto Wave
Conductive
Keratoplasty (CK)
Hair Removal /
Photofacials /
Sunspot Removal
Botox
Patient Information
Laser Vision Seminars
Registration
*
Required Fields
Location
Date/Time of seminar
Athens, GA
Gainesville, GA
Greensboro, GA
7/14/2008 6-7PM
7/28/2008 6-7PM
8/11/2008 6-7PM
8/25/2008 6-7PM
First Name
*
Last Name
*
Address
P.O. Box or Suite
City
State/Zip Code
Day Phone
*
Cell Phone
Email Address
*
How Many Seats?
*
How did you hear about us?
*
Please check all that apply:
Newspapers
Radio
Other
Athens Banner Herald
WNGC 106.1 (Athens)
Family/Friend
Athens Online
WDUN 550 AM (Gainesville)
BLG Website
The Franklin Press
WRBN 104 (Rabun Co.)
Yellow Pages
Macon County News
WNCC 96.7 (Franklin)
Postcard
Gainesville Times
Corporate Partner
Other
You will receive an email
confirmation with seminar
registration details.
Download Patient Form Here
©2005, Blue Laser Group
All Rights Reserved.
Design
by
Red Clay Interactive
Locations:
Athens
-
Elberton
-
Gainesville
-
Greensboro
-
Hartwell
-
Franklin, NC
Site Map
