The Houston Aortic Symposium: Frontiers in Cardiovascular Diseases, the Sixteenth in the Series March 21, 22 & 23, 2024Westin Oaks Hotel, Houston, TX Faculty Hotel, Presentation Release, and Faculty Dinner Form Step 1 of 4 25% Please complete the fields below for your faculty participation in The Houston Aortic Symposium 2024. You will receive a confirmation email after submission with a copy of your responses.Your Name(Required) First Last Your Email(Required) Enter Email Confirm Email Copy confirmation to the following email (assistant, etc) - Optional Enter Email Confirm Email Hotel ReservationPlease make your own airline reservations at your earliest convenience. The symposium will reimburse economy class flights along with ground transportation costs after the symposium concludes. Please email your receipts to [email protected] A room will be reserved for you at the Westin Oaks Hotel. The hotel is located at 5011 Westheimer, Houston, TX 77056. Up to two (2) nights room and tax will be paid by the course. If you select more than two (2) nights, the group room rate is $246 plus taxes per each additional night. *Enter your arrival and departure dates below along with special requests. *Requests, including early check-in, will be communicated to the hotel however cannot be guaranteed. *The hotel will require a credit card from you onsite for incidentals. *You will receive a hotel confirmation number within 2 weeks of submission.Arrival Date(Required)Choose your hotel arrival dateTuesday, March 19, 2024Wednesday, March 20, 2024Thursday, March 21, 2024Friday, March 22, 2024Departure Date(Required)Choose your hotel departure dateThursday, March 21, 2024Friday, March 22, 2024Saturday, March 23, 2024Sunday, March 24, 2024Room Type(Required)Choose your Room Type1 Bed2 BedsBonvoy Account NumberIf you would like us to indicate a Marriott Bonvoy account number on your reservation, please write the number here. If you do not have a Bonvoy number, leave blank. Requests for the Hotel (Optional)Please note that requests will be communicated to the hotel, however cannot be guaranteed. Release FormsThe Houston Aortic Symposium 2024, taking place March 21-23, 2024, may videotape, audiotape, and/or reproduce portions of the symposium for the purpose of reference and/or teaching in an online format. Additionally, faculty slides will be made available online in PDF format for attendees to access after the symposium in the online meeting syllabus. Please review, complete, and submit the form below.Permission for your presentation slides to be shared with attendees in the online syllabus as a PDF(Required) YES, I give my permission to share my slides as a PDF online with meeting attendees NO, I do not give my permission to share my slides as a PDF online with meeting attendees Not Applicable, I am participating in a panel and or moderating and will not present slides Permission for your participation to be video and/or audio taped(Required)By choosing "YES" below, I authorize The Houston Aortic Symposium 2024 to videotape and audiotape my complete presentations(s) and consent to allow the use and reproduction of my name, presentation(s), and all materials contained in my presentation(s). My videotaped and audiotaped presentation(s) and materials will only be used, reproduced and distributed within the context of the conference program. To the best of my knowledge, use, and reproduction of the materials or information used in my presentation(s) will not violate any third party’s copyrights or other property rights. To the extent copyrighted or trade secret materials are used, reproduced or displayed with my presentation(s), I have obtained written permission to use, reproduce, and distribute such materials from the copyright owner. YES, I give my permission for my presentation(s) to be videotaped and/or audiotaped NO, I do not give my permission for my presentation(s) to be videotaped and/or audiotaped Faculty DinnerOn behalf of the program directors, we are pleased to invite you to attend The Houston Aortic Symposium 2024 faculty dinner! Thursday, March 21, 2024 6:30pm Del Frisco's 5061 Westheimer Rd, Ste 8060 (inside the Westin Galleria) Houston, TX 77056 Del Frisco's is within walking distance of the Westin Oaks Hotel. We will meet in the main lobby (street level) of the Westin Oaks at 6:20 pm and walk together as a group, or you can feel free to meet us there on your own.Faculty Dinner RSVP(Required) Yes, I will attend the faculty dinner myself Yes, I will attend the faculty dinner with a guest I am unable to attend the faculty dinner Promedica International is required to keep speaker CVs in an accreditation file. Please upload your current CV in Word or PDF format.Upload Your Current CVAccepted file types: pdf, doc, docx, Max. file size: 200 MB.Thank you for completing your faculty paperwork! You will receive a copy of this form for your records via email within 3 business days. Please click "Submit" below to finalize.