SARNOFF CARDIOVASCULAR RESEARCH FOUNDATION 31ST ANNUAL SCIENTIFIC MEETING April 28-30, 2011 Gaylord National Harbor Hotel, National Harbor, Maryland
REGISTRATION DEADLINE: FRIDAY, MARCH 25, 2011
FIRST NAME: LAST NAME:
Name you wish to appear on nametag:
DEGREE(S): Select MD PhD MD/PhD
MAILING ADDRESS:
EMAIL ADDRESS:
PHONE:
SPOUSE/GUEST: yes no
If applicable, please print name of Guest:
Guest fees may be paid online via Paypal or a check made out to the "Sarnoff Cardiovascular Research Foundation" should be sent to the Sarnoff Foundation Office, 731 Walker Road, Suite G2, Great Falls, VA 22066 for the additional guest fees.
Guest Cancellation Policy - You will be responsible for all guest fee(s) if you do not cancel the reservations (hotel and/or event(s)) with the Foundation by April 1.
Please note: If you register for the Annual Scientific Meeting and are unable to attend, you must notify the Foundation by March 25th to cancel your hotel reservation. If you notify the Foundation after this date, you will need to pay a $50/night hotel reservation penalty.
From time to time, the Sarnoff Foundation may reproduce photographs, or other media forms, of the event attendees for its official publications. Additionally, there may be occasions where the Foundation wishes to utilize certain information about the attendees including name, address, school and laboratory affiliations, and other appropriate information in the public domain or provided to the Foundation. You agree to allow the Foundation to publish, in any form, and in its discretion, the information contained in such documents or similar documents, as well as any pictures, videos or similar reproductions and recordings made in connection with the Foundation's sponsored events and programs.
Yes, I give permission No, I decline permission
Additional Comments/Requests: