PCI21 - Registration Form: September 2021 (Philips)

September 10-11, 2021
Beverly Hills, CA
In Person Workshop

Sponsored by a grant from Philips

Registration Form for Philips Employees
(In Person Attendance)

Precision PCI will be a deep-dive live and in person course on coronary imaging, physiology, and techniques of complex PCI. The agenda will include lectures from US and international experts, case examples, a live case transmission, and hands-on opportunities. To register to attend this in person workshop in Beverly Hills, California, please provide your information below. If you have any questions, please contact Symposium Manager, Rebecca Law.
Name*
First Last
Degrees/Credentials
Enter the degrees/credentials you would like to appear on your name badge.
Salutation*
Email Address*
Registration and symposium communication will be sent to this email address.
Enter Email Confirm Email
Hospital/Affiliation*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone Number*
Phone Type*
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Registration Form for Philips Employees(In Person Attendance)