Sponsored By: Attend our event! Date: Wednesday, January 17, 2018 Time: 6:00 p.m. Location: Southern Surgical Arts, 2550 Elkton Trail, Tyler, TX 75703Name* First Last PhoneEmail* Organization*Organization Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Bringing a guest? Please provide their information below.Guest Name First Last Guest PhoneGuest Email Guest OrganizationGuest Organization Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code