PPCI22 - Virtual Attendance Registration Form

Registration Form for Precision PCI
October 7-8, 2022
Virtual Attendance
The Precision PCI program is a detailed course on coronary imaging, physiology, and techniques of complex PCI that will be broadcast live October 7-8, 2022.

The agenda is forthcoming and will include lectures from US and international experts, case examples, and a live case transmission. Please complete and submit the form below to register to participate in the virtual symposium and have access to the online archives after the course is completed. A confirmation email will be sent to the email address provided below.
Name*
First Last
Degrees/Credentials
Enter the degrees/credentials you would like to appear on your name badge.
Salutation*
Your Medical Specialty*
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*
How did you hear about the program?*
- Email marketing
- My Philips Representative
- Wondr Medical
Philips Representative Name
Please enter the name of your Philips representative. If you do not currently have a Philips representative, please note that you may be contacted by a representative in your area.
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FACULTY & AGENDA

COMING SOON!

Registration Form for Precision PCIOctober 7-8, 2022Virtual Attendance