Registration

Link to Registration Form: /docs/Registration%20Form%20final(4).docx

Link to Online Registration Form: https://forms.gle/JZz7v9cPw2om8KQG7

Registration Form For:     CardioSarasota, Florida 22/22/22

22nd Annual National Sarasota, Florida Congress for

Cardiovascular Disease Prevention and Optimal Treatment Update

Hosted by 22 of the Most Renowned National and International Professors in February 2022

 

 

Physicians……………………………………………..$250 Prior to Dec 31, 2021, Thereafter $400

 

Other Healthcare Professionals…………………………………………………………......…..$150

 

ISCVDP Members and Previous Attendees limited to 100 Prior to Dec 31, 2021…………......$100

 

Medical Students and Nurses (first 50 registrants), prior to Dec 31, 2021.…………….…….....Free

 

Public invited free for Saturday Afternoon session.  Space is limited, must pre-register

Optional Lunch for Health Care Providers by invitation: Friday February 4, 2022

YES, I will attend

NO, I will not attend

Optional Dinner for Health Care Providers by invitation: Friday February 4, 2022

YES, I will attend

NO, I will not attend

Optional Breakfast Program by invitation: Saturday February 5, 2022

YES, I will attend

NO, I will not attend

Optional Lunch for Health Care Providers: Saturday February 5, 2022

YES, I will attend

NO, I will not attend

Optional Dinner for Health Care Providers by invitation: Saturday February 5, 2022

YES, I will attend

NO, I will not attend

 

Make checks payable to: International Society for Cardiovascular Disease Prevention
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