VIRTUAL STEERING COMMITTEE MEETING
Clinical Site Attendee Registration
September 29, 30 and October 1, 2020

PLEASE COMPLETE BY MONDAY, SEPTEMBER 7, 2020

VIRTUAL STEERING COMMITTEE MEETING REGISTRATION

The next ECHO ISPCTN face-to-face Steering Committee meeting will take place virtually.

Due to the membership size of the Steering Committee, the DCOC is asking that each clinical site awardee register a minimum of 1 and a maximum of 4 attendees for this virtual conference.

This registration is important so that the DCOC can plan accordingly and effectively incorporate breakout sessions.

VIRTUAL MEETING DATES/TIMES:

September 29: 1:00 - 4:30 p.m. CST/ 2:00 - 5:30 EST

September 30: 1:00 - 4:30 p.m. CST/2:00 - 5:30 EST

October 1: 1:00 - 4:30 p.m. CST/2:00 - 5:30 EST

Question Title

* 1. Clinical Site

Question Title

* 2. Attendee registration #1

Attendee name

Attendee study role

Attendee email address

Question Title

* 3. Attendee registration #2

Attendee name

Attendee study role

Attendee email address

Question Title

* 4. Attendee registration #3

Attendee name

Attendee study role

Attendee email address

Question Title

* 5. Attendee registration #4

Attendee name

Attendee study role

Attendee email address

Question Title

* 6. Do you plan to attend all three days of the virtual conference?

Yes

Question Title

* 7. If your answer is no, which days do you plan to attend?

September 29

September 30

October 1