CVI's Inaugural Philadelphia Heart Failure Symposium 4/30/2023

Personal Information

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PLEASE READ AND CHOOSE YOUR PAYMENT CAREFULLY. IF PAYING BY CREDIT CARD, PLEASE CHOOSE FROM THE TOP HALF OF THE FEES. IF PAYING BY CHECK PLEASE CHOOSE FROM THE BOTTOM HALF OF THE FEES. THANK YOU!

Type	Fee
CREDIT CARD Physician & Industry Registration $181.00 after Friday, April 14, 2023	$131.00
CREDIT CARD W/MOC Physician & Industry $231.00 after Friday, April 14, 2023	$181.00
CHECK Physician & Industry Registration $175.00 after Friday, April 14, 2023	$125.00
CHECK W/MOC Physician & Industry $225.00 after Friday, April 14, 2023	$175.00
CREDIT CARD Fellow, Resident & Trainee $131.00 after Friday, April 14, 2023	$81.00
CHECK Fellow, Resident & Trainee $125.00 after Friday, April 14, 2023	$75.00
CREDIT CARD Advanced Practice Provider, Nurse, MA, All Others $131.00 after Friday, April 14, 2023	$81.00
CHECK Advanced Practice Provider, Nurse, MA, All Others $125.00 after Friday, April 14, 2023	$75.00

If you are paying by check, please choose the correct payment type above, print the registration form and mail the form and your check to CVI, P O Box 56598, Philadelphia, PA 19111. Thank you.
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Fellows and Residents MUST include Affiliation Name to receive the reduced rate
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