When

Saturday, November 3, 2018 from 7:30 AM to 4:00 PM EDT
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Where

Double Tree Suites by Hilton - Mount Laurel, NJ

515 Fellowship Road North
Mount Laurel, NJ 08054

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Driving Directions

Contact

Janet M Noel
Cardiovascular Institute of Philadelphia
215-389-2300
cvi.janetnoel@verizon.net

5th Annual Role of Cardiac Imaging in the Female Patient 2018

Thank you for registering for the 5th Annual Role of Cardiac Imaging in the Female Patient, presented by, Deborah Heart and Lung Women's Heart Center and The Cardiovascular Institute of Philadelphia being held on Saturday, November 3 2018 at the Double Tree Suites by Hilton, Mount Laurel, New Jersey.

* Required information

Personal Information

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  • Fee

    Type Fee
    • $166.00 after Friday, September 28, 2018
    $131.00
    • $216.00 after Friday, September 28, 2018
    $181.00
    • $216.00 after Friday, September 28, 2018
    $181.00
    • $266.00 after Friday, September 28, 2018
    $231.00
    • $160.00 after Friday, September 28, 2018
    $125.00
    • $210.00 after Friday, September 28, 2018
    $175.00
    • $210.00 after Friday, September 28, 2018
    $175.00
    • $260.00 after Friday, September 28, 2018
    $225.00
    • $116.00 after Friday, September 28, 2018
    $81.00
    • $166.00 after Friday, September 28, 2018
    $131.00
    • $110.00 after Friday, September 28, 2018
    $75.00
    • $160.00 after Friday, September 28, 2018
    $125.00

Business Information

  • Fellows and Residents MUST include Affiliation Name to receive the reduced rate.

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Billing Information

  • What is your payment method?

  • PLEASE NOTE: IF PAYING BY CHECK, PLEASE COMPLETE REGISTRATION INFORMATION, PRINT FORM AND MAIL WITH CHECK TO CVI, P O BOX 54632, PHILADELPHIA, PA 19148. THANK YOU!

  • PLEASE NOTE: IF PAYING BY CREDIT CARD, PLEASE CONTINUE TO AND COMPLETE CREDIT CARD PAYMENT FIELDS. A RECEIPT WILL BE EMAILED TO YOU FROM AUTHORIZE.NET. THANK YOU!

  • PLEASE NOTE YOU MUST COMPLETE THE ADDRESS TO WHICH THE MONTHLY CREDIT CARD BILL IS SENT. THIS IS THE VERIFICATION PROCESS AND WILL NOT GO THROUGH UNLESS THIS IS FULLY COMPLETED UNDER THE CREDIT CARD INFORMATION. THANK YOU!

PLEASE ADD THIS PERSON TO CVI'S MAILING/E-MAIL LIST

$9,999.99

Payment

Payment Method

  • Please make check payable to:
    Cardiovascular Institute of Philadelphia
    P O Box 54632
    Philadelphia, PA 19148

Payment Summary


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