Dr. Thomas Fiala
220 East Central Pkwy. #2020
Altamonte Springs, Florida 32701
Ph: (407) 339-3222
e-mail:

Contact Us for Your Free Facelift Information Packet
Your Facelift information packet contains procedure information, price ranges, surgical instructions, and more. You may also Contact Us by Phone: 800 - 330-4414.

If you reside outside of the state of Florida please call the office to recieve your free information package.

Contact Information
First Name *
Last Name *
E-mail Address *
Street Address 1 *
Street Address 2 *
City *
State/Province * Florida Only
ZIP/Postal Code *
Telephone Number
Best times to contact me
Procedure of interest
(check all that apply)
Facelift Liposuction Neck and Chin
Eyelid Lift Forehead Lift
Other
Method of Delivery
Send me the NEW Multimedia Presentation on CD ROM via regular mail
Send me the Information Package via regular mail
Send me the Information Package via E-mail


            
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