AA Virtual Conference Centre

Complete the registration form below to create your virtual account

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

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