Link to Registration Form: /docs/2023-Registration-Form.pdf
Link to Online Registration Form: https://forms.gle/JZz7v9cPw2om8KQG7
Registration Form For: CardioSarasota, Florida 23/23/23
23 rd Annual National Sarasota, Florida Congress for
Cardiovascular Disease Prevention and Optimal Treatment Update
Hosted by 23 of the Most Renowned National and International Professors in February 2023
Physicians……………………………………………..$250 Prior to Dec. 31, 2022, Thereafter $400
Other Healthcare Professionals…………………………………………………………...………..$150
ISCVDP Members and Previous Attendees limited to 100 Prior to Dec. 31, 2022…………..$100
Medical Students and Nurses (first 50 registrants), prior to Dec. 31, 2023.…………………..Free
Public invited free for Saturday Afternoon session. Space is limited, must pre-register
Optional Lunch for Health Care Providers by invitation: Friday February 3, 2023 |
YES, I will attend |
NO, I will not attend |
Optional Dinner for Health Care Providers by invitation: Friday February 3, 2023
|
YES, I will attend |
NO, I will not attend |
Optional Breakfast Program by invitation: Saturday February 4, 2023
|
YES, I will attend |
NO, I will not attend |
Optional Lunch for Health Care Providers: Saturday February 4, 2023 |
YES, I will attend |
NO, I will not attend |
Optional Dinner for Health Care Providers by invitation: Saturday February 4, 2023 |
YES, I will attend |
NO, I will not attend |
Make checks payable to: International Society for Cardiovascular Disease Prevention
Prevention and mail to the address below. *
FOR CREDIT CARD PAYMENT CALL (941) 366-9805
Name: ___________________________________________________
Title: _____________________________________________________
Address: __________________________________________________
City: _____________________________State: _____Zip: __________
Facility: ___________________________________________________
Phone: ___________________________________________________
E-mail: ___________________________________________________
Name on Card______________________________________________
Card No. ____________________________________Exp____/_______
Send Registration Form & Appropriate Fee to:
International Society for Cardiovascular Disease Prevention
P.O. Box 433, Sarasota, FL 34230
Attn: M. El Shahawy, MD, Program Director