Laser & Cosmetic Surgery Specialists Events Registration Form "*" indicates required fields Name* Phone Number*Email* Date and session time*Specify the date and time for the event4/12/24 – Newburgh 9:00AM4/12/24 – Newburgh 11:00AM4/19/24 – Montvale 9:00AM4/19/24 – Montvale 11:00AMHow did you hear about this event?How did you hear about this event?Real SelfFacebookYoutubeInstagramGooglePatientFamily / FriendPhysicianHow many guests?*By submitting this form I agree to the Terms of UseNameThis field is for validation purposes and should be left unchanged. Δ Follow Us