Profiles of Success
 Be Part of Barbara’s Upcoming eBook
We all take our inspiration from each other.  Part of what is helping to make weight loss surgery so popular is the very real knowledge that it does in fact work.  If you would like to have your success story included in my upcoming eBook to be called Profiles of Success, please complete the form below.
Name
Phone Number
City
State
Email Address
Beginning Weight
Current Weight
NOTE: The following data boxes will accept any length of text.
Please submit between 200 to 400
words for each question.
What kind of health problems did you have before surgery?
What was your life like before surgery?
How has your life changed since surgery?

Required:  Before and after pictures either in a file emailed to Frank@wlscenter.com 
or copies sent to:
WLS Center, 488 Diablo Drive, Pittsburgh, PA  15241 

I agree that by submitting the above information, I give my approval to publish my story, that will include my first name, city, state, and pictures, in Barbara Thompson’s upcoming ebook titled Profiles of Success and that the copyright of this material will belong to Barbara Thompson

I Agree