Symposium Registration - Step 1

Physician's Registration

Degree(s): MD MBBS DO PhD - Other

Last Name*

First Name*

M.I.

Address*

City*

State**

Zip* (0 if none)

Country*

Affiliation

Office Phone*:

Home Phone:

Fax Phone:

(Please include country and city codes: xxx-xxx-xxxx)

Email*

(For confirmation of registration, payment and individual CME survey access)

Specialty or Area of Practice:

 

*Fields with *asterisk are required.
**Fields with **asterisk are required in the United States.

 

ADDITIONAL SESSIONS OFFERED
These sessions are included with registration but require RSVP. Please enroll early,
space is limited. See website program page for descripions.

Friday's Lunch Session and Saturday's Breakfast and Lunch Sessions are not part of the
accredited educational activity (credit is not offered for attending). Optional to attend.

Please indicate below if you plan to attend any of these sessions.

Friday, June 1
YES, I will attend Friday Session I and II - 11:30-5:10pm
               (CME Available)

YES, I will attend Friday Lunch Symposium- 12:15-1:15pm
                The New Age of Heart Failure: Innovative Diagnostic and Treatment Strategies
               (Non-CME)

Saturday, June 2
YES, I will attend the Saturday Breakfast Session - 7:00-8:00am
                THROMBOSIS: Atrial fibrillation - An Exploration in Risk Reduction
                (Non-CME)

YES, I will attend the Saturday Lunch Session - 12:20-1:40pm
                Optimizing Treatment to Improve Outcomes Implementing the New Guideline for
                Managing Heart Failure with Reduced Ejection Fraction
               (Non-CME)

 

REGISTRATION FEES

$130

1. Early-Bird On or before April 23, 2018

$160

2. Pre-Registration April 24 - May 18, 2018

$190

3. Registration and On-Site On or after May 19, 2018

Only Visa, Mastercard, Amex and Discover accepted.
Mail in Option also available.

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