NECC 12th Annual Summit - General Registration

Start Date:
Thursday, October 26, 2017
End Date:
Friday, October 27, 2017
Location:
Newport Marriott 
Newport Marriott  25 America's Cup Avenue
Newport, RI 02840
USA

NECC 12th Annual Summit ~ October 26-27, 2017

Registration Form

Link to: Summit Brochure

Early Bird Registration Now Through October 6, 2017

**If you are a Committee Member, please email Nia Flick at Nia.Flick@heart.org to receive a link to register.

**If you are a student, please email Nia Flick at Nia.Flick@heart.org with proof of your full time student status you will receive to receive a link to register.

* = Required Fields

Attendee Information
Please use proper structuring when entering your name. (Example: John Smith) Please do not do all upper case or all lower case. This is information will be used for your name badge.
Please note often our emails go into the SPAM folder due to your email provider or an email block at your facility; please provide your main email & an alternate email.
Enter your Affiliation/Hospital, please do not abbreviate. This information will be listed on your name badge.
Event Preferences
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EMERGENCY CONTACT: Please list a personal contact who we should reach in event of an on-site or medical emergency.

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Stroke Tank (a “Shark Tank” style event)

NEW THIS YEAR!

We look forward to engaging you in judging & funding proposals from researchers in the Northeast focused on improving triage of patients for endovascular care.

YOU are important to the success Stroke Tank.

If you are unable to participate on Day 2 of the Summit, please advise us by contacting Nia.Flick@heart.org.

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CROWD NOTICE—PHOTO/FILM RELEASE: Be advised that photographs and film will be taken throughout the event. These photos and film will be used for a variety of purposes by the discretion of the American Heart Association|American Stroke Association and the NECC. Potential examples include use in collateral, presentations, online use and all types of media. No compensation will be given. If you have any concerns, please speak with an American Heart Association|American Stroke Association staff member prior to the conference.

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CANCELLATION POLICY: Refund of your registration fee will be less a $30 administration charge and given if written notice of cancellation is emailed or postmarked by October 6, 2017. Refunds will not be issued after October 6, 2017.

Please email Nia at Nia.Flick@heart.org to cancel.

Please Note: Your registration will not be complete until payment is received. When you click on the Submit button below and you will proceed to the billing page to complete your payment with a credit card. Registration confirmations will be emailed following the completion of your payment.

Available Ticket Classes

Price

Ticket Class

Available

Limit

Quantity

$150.00
EMS Professionals No Limit 1
$200.00
Nurses, Healthcare & Public Health Professionals No Limit 1
$250.00
Physicians No Limit 1
Total Tickets:
0
$0.00
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