Abstract Submission Online Form Deadline: April 15th 2017
In order to ensure the presentation of the abstract, at least one of the Authors has to be registered to the Congress

Author for Correspondence

Title: *
First Name : *
Family Name : *
Name of Institution or Hospital : *
Address: *
Zip Code: *
City: *
State/Province: *
Country: *
Phone (Include country & area codes): *
E-mail: *
Date of birth: *

Abstract details:

Topic *
Type of Presentation preferred
(Presentation will be supported by video presentation from PC only)

(dimensions 70 cm. Width, 100 cm height)
Title :
Title should be in capital letters
Presenting Author’s Name: *
please specify if the author/presenter is a young member (under 38), a member of the medical staff, a graduate student (specify year), a PhD Student
- Initial(s) Family Name Deparment Institution City Nation  
Author 1 add Author
File abstract
Only .doc files are accepted. The file must not contain authors' names for a neutral evaluation by the Abstract Selection Committee.
  Privacy: Information art. 13 D.Lgs 30.06.2003 n. 196
The personal data acquired thanks to the present module is collected for purposes connected to execution of the congress and will be processed using both electronic and non-electronic tools. The data collected will be processed only by appointed personnel (marketing, administration and secretariat employees). The data may be communicated to professionals, hotels, travel agencies, airline and shipping companies, affiliated professional bodies, banks, the Ministry of Health for CME purposes and any other sponsors. Providing data (such as name, surname, address, profession, fiscal code, VAT number, place and date of birth, telephone and e-mail) is compulsory in order to make hotel bookings, register for the congress, issue standard invoices and for CME registration.
The above mentioned data (e-mail address and fax number) may also be used to inform you of our future events providing that you authorize us to do so by ticking the appropriate box. Although refusal to provide authorisation to send communication linked to our activities will not prejudice your registration for the congress, we will not be able to contact you to inform you of any future events.

We would like to remind you that your rights are recognised by article 7 of Legislative Decree nr. 196 dated 30th June 2003, in particular the right to access your personal data, request its modification, updating and cancellation if incomplete, incorrect or collected in breach of the law, as well as, object to its processing for legitimate reasons, by addressing your requests to the data controller at the following address info@venicearrhythmias.org

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