webinar 8th October 2020 MVSIC LAA REGISTER NOW First name Last name Date of birth Email address Phone number Address City Postal code Country Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Central African Republic (CAR) Chad Chile China Colombia Comoros Democratic Republic of the Congo Republic of the Congo Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia (FYROM) Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar (Burma) Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria North Korea Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates (UAE) United Kingdom (UK) United States of America (USA) Uruguay Uzbekistan Vanuatu Vatican City (Holy See) Venezuela Vietnam Yemen Zambia Zimbabwe Name of hospital/institution where you work City of your institution Chief of your department: Name and Surname Chief of your department: email address Profession (hold Ctrl or Cmd to make multiple choises) Physician Fellow Physician Nurse Technician Industry Researcher Other Your specialty (hold Ctrl or Cmd to make multiple choises) Cardiology Cardiac Surgery Internal Medicine Neurology Radiology Anesthesiology Hematology Other Areas of interest (hold Ctrl or Cmd to make multiple choises) Drug Eluting Stents Interventional Pharmacology Transradial Access Intracoronary Imaging and Coronary Physiology Peripheral Vascular Left main/Bifurcations Chronic Total Occlusions Bioresorbable Vascular Scaffolds and Drug Coated Balloons Aortic Valve Mitral Valve/Tricuspid Valve Stroke Prevention (LAA closure, Neurointervention) ASD/PFO Heart Failure/Hemodynamic Support Information concerning the protection of personal data in observance of the EU GDPR law 2016/679 SEND