Link to PDF Registration Form: Registration Form 2024.pdf
Link to Online Registration Form: https://docs.google.com/forms/...
Physicians………………………………………….250 Prior to Dec. 31, 2023, Thereafter $400
Other Healthcare Professionals………………………………………………………….....…$150
ISCVDP Members and Previous Attendees limited to 100 Prior to Dec. 31, 2023………$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 2, 2024 | YES, I will attend | NO, I will not attend |
Optional Dinner for Health Care Providers by invitation: Friday February 2, 2024
| YES, I will attend | NO, I will not attend |
Optional Breakfast Program by invitation: Saturday February 3, 2024
| YES, I will attend | NO, I will not attend |
Optional Lunch for Health Care Providers: Saturday February 3, 2024 | YES, I will attend | NO, I will not attend |
Optional Dinner for Health Care Providers by invitation: Saturday February 3, 2024 | 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