Banana Monthly Membership

When registering, providing information about your bariatric surgeon, Practice, or personal details is completely optional and is used solely for demographic insights and to better understand our members. This platform is not HIPAA-compliant, and we recommend avoiding sharing sensitive personal health information.

Terms:

1 Week for $1 then $49 / Month

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Bariatric Surgeon:* Bariatric Surgeon is Required

Affiliated Hospital / Practice:* Affiliated Hospital / Practice is Required

Username:* Invalid Username

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Password Strength Password must be "Strong" or stronger

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Terms: 1 Week for $1 then $49 / Month

Description	Amount
Banana Monthly Membership – Initial Payment	$1.00
Total	$1.00

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