AA Virtual Conference Centre

This form is for Healthcare professionals to complete if you are an Industry representative trying to register please email events@heartrhythmalliance.org

Please indicate if you are a Healthcare Professional or Patient

Email Address* Password* Title* First name* Last name* City* Country* Telephone/Mobile*

Charity* What (if any) is your diagnosis?

PATIENT/CARER – Registration fee £20.00 (US $ or currency of your choice) payable via PayPal, Credit or Debit card. For enquiries please e mail Events@heartrhythmalliance.org

What is your occupation?* If other, please specify Official Job title* Specialist area?* If other, please specify Hospital / Surgery name / Company*

Do you give consent for us to share your title, first name, surname, job title, hospital/clinic and email address with industry who are supporting this years congress?*

HCP/INDUSTRY - Registration fee £50.00 (US $ or currency of your choice) payable via PayPal, Credit or Debit card. For enquiries please email adminteam@heartrhythmalliance.org

Discount code

Do you consent to us contacting you in the future?

Already have an account? Click here to login