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

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Registration Form

Link To Registration Form: Registration Form 2024.pdf

Link To Online Registration Form: https://docs.google.com/forms/...

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Registration Form For: CardioSarasota, Florida 24/24/24

24th Annual National Sarasota, Florida Congress for

Cardiovascular Disease Prevention and Optimal Treatment Update

Hosted by 24 of the Most Renowned National and International Professors in February 2024


Physicians……………………………………………..$250 Prior to Dec. 1, 2023, Thereafter $400

 

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

 

ISCVDP Members and Previous Attendees limited to 100 Prior to Dec. 1, 2023…………..$100

 

Medical Students and Nurses (first 50 registrants), prior to Dec. 1, 2023.…………………..Free

 

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


Optional Breakfast for Health Care Providers Friday February 2, 2024

YES, I will attend

NO, I will not attend

Optional lunch for Health Care Providers: Friday February 2, 2024, Lunch for the first 100 Registrants

YES, I will attend

NO, I will not attend

Optional Dinner Program by invitation: Physicians Only Friday February 2, 2024, Space Limited

YES, I will attend

NO, I will not attend

Optional Breakfast for Health Care Providers Saturday February 3, 2024

YES, I will attend

NO, I will not attend

Optional lunch for Health Care Providers: Saturday February 3, 2024, Free Lunch for the first 100 Registrants

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