Request a Letter of Invitation to Heart Rhythm 2012

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Request a Letter of Invitation to Heart Rhythm 2012

Please fill out the below form — fields marked with an asterisk* must be completed — to obtain a letter of invitation to Heart Rhythm 2012.

As noted, this invitation is only meant to help you obtain a visa or to raise travel funds; it is not a commitment on the part of Heart Rhythm Society to provide any financial support. The Society's 33rd Annual Scientific Sessions will take place May 9-12, 2012, in Boston, Massachusetts, at the Boston Convention Center, 415 Summer Street, Boston, MA 02210.

* Prefix:
* First/Given Name:
Middle Name:
* Last/Family Name:
Suffix (if any):
Degree(s):
Position/Job Title:
* Organization/Institution/Company:
Department:
* Address:
Address 2:
* City:
State (for U.S. addresses):
Region/Province:
* Country:
* Zip/Postal Code:
Telephone:
Fax:
* E-mail:
* Passport Number:
* Country of Citizenship:
* Date of Birth (MM/DD/YYYY):
* I will attend meeting as a:

NOTE: The form may take 1-3 minutes to process. The letter will open in a new browser window. You will be able to edit any entry by returning to this form and resubmitting.