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ACTION @ International Pediatric VAD and HF Summit
Thursday, September 21, 2023 | Noon-5pm
St. Louis, MO
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1.
Contact Information
(Required.)
First Name:
Last Name:
Name of Organization:
Email Address:
*
2.
Do you plan to attend the ACTION Meeting on Thursday, Sept. 21st from Noon-5pm?
(Required.)
Yes
No
Maybe
3.
T-Shirt Size -
Shirts will only be provided for members attending the ACTION meeting, who completed the survey by 7/31/23.
N/A - RSVP'ing after 7/31
N/A - RSVP'ing after 7/31
*
4.
Are you a Fellow?
(Required.)
Yes
No
5.
Other/Comments: