Please complete the form below to be registered for the following WebMD Health Services webinar: How Social Networks Affect Health Behaviors – And How Your Wellness Program Can Benefit

Date and Time: Tuesday, May 11, 2010, 2:00 p.m. ET

All registrants will be entered in a drawing to win a copy of Connected: The Surprising Power of Our Social Networks and How They Shape Our Lives, by Nicholas A. Christakis and James H. Fowler.*

First Name:*
Last Name:*
Email:*
Company Name:*
Title:*
State:*
Market Type:*	< Not Selected >EmployerConsultant/BrokerGovernmentHealth Plan
# of Employees:*
If Health Plan, # of Members:
Day Phone:
Reference Code:

*Winner will be notified by WebMD Health Services after the event.

If you have any questions, please contact us at whsinfo@webmd.net.