Structural Heart Symposium 2019 - Faculty Disclosure

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Thank you for agreeing to present at Structural Heart Symposium 2019. STS looks forward to working with you!

Please complete the disclosure information on the following pages no later than Friday April 26, 2019. If you have any questions, please contact Michelle Taylor.

First Name:

Last Name:

Degree

Email:

I have reviewed the draft Structural Heart Symposium 2019 agenda and accept this invitation to be a presenter/moderator on August 23-24, 2019 in Chicago, IL.

I understand that educational material must be submitted no later then, July 22, 2019. These include my final presentation(s) and assement questions.

Please Select:

I Accept As Presenter/Moderator

I Accept the terms of the timeline.