Below is a sample of the emails you can expect to receive when signed up to blackandblacksurgical.
Hello Emma Hill,
You have submitted a registration to BlackandBlackSurgical.com.
Unfortunately, your registration has been denied at this time.
Please note that our online accounts are regulate: purchasing accounts for the website are restricted to certified surgeons, hospitals, & surgical clinics within the United States. If your practice is outside the USA, we can direct you to our distributor if available in your region, or we can offer a quote for a list instruments which you may need.
If your surgical practice is in the USA and you believe this was an error, please contact us by email to let us know.
Thank You!
| Data Name | Data Type | Options |
|---|---|---|
| Position |  Text Box | |
| First name | Text Box | |
| Last name | Text Box | |
| Password | Text Box | |
| Text Box | ||
| Home address | Text Box | |
| City | Text Box | |
| State | Text Box | |
| Country | Text Box | |
| Postcode | Text Box | |
| Password (confirm) | Text Box | |
| Position |  dropdown | Surgeon |
| Country * | dropdown | Surgeon |
 checklist | AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelauBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandC |
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