Phone: (941) 366-9800
Fax:      (941) 366-2781
1950 Arlington Street, Suite 300 Sarasota, Florida 34239

fb   In   doximity   twitter  

Menu

Registration Form 2024

Link to Registration Form PDF: registration-form-2024

Link to Online Registration Form: Online Registration Form

QR code registration

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


 

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