Live in a box On behalf of CardioAlex we would like to inform you that you have been selected to participate in CardioAlex 2019 through Live in a box case get ready and submit * RequiredName * Mobile Number * Email * University * Next 1 / 3 Date of Shooting * Starting time *010203040506070809101112HH000510152025303540455055MMAMPMAM/PM Hospital * City * Contact Person in the hospital Required Permission for hospital entry *YesNo Case title * Sub-specialty *IVUSFFRPost Cabbage InterventionRadial Balloon MitralASD-PDAClassified Lasion CuttingBalloon RotablatorMultivessel DiseaseOther Do you have a sponsor for your case? *YesNo please name it CardioAlex will be in charge of recording and editing the case only and any other arrangements related to the case will be provided by the candidate himself *Accept Next 2 / 3 · Rules and Regulations:· I accept to conduct the case and it can be presented during CardioAlex 2019 conference *Accept I accept that the case can be launched on CardioAlex official website and any publishing material for the conference. *Accept CardioAlex will have the right to coordinate with a sponsor to cover the recording expenses. *Accept VerificationPlease enter any two digitsExample: 12This box is for spam protection - please leave it blank 3 / 3
