Register Online: Step 1 - Delegate Profile

Please note that the details entered on the following pages will be used when printing documents such as name badges, etc, so it is vital that all details you enter are correct. Please complete all fields marked * as they are required for administration.

Subscriber

Please indicate if you are a subscriber of Arrhythmia Alliance. If you are not a subscriber of either, please leave the box unticked.

 Subscriber of A-A

A-A Subscriber Number (if you do not have your membership number please call HRC on +441789 867 523)

Abstract/Cases & Traces Presenter

Please check this box if you are attending as an Abstract/Cases & Traces Presenter

 Are you an Abstract Presenter

Occupation

Please give details of your occupation and speciality.

Occupation Please select Nurse Physiologist Trainee/Registrar Education General Practitioner Other - please specify Pharmacist Cardiologist/Electrophysiologist

Occupation - other

Speciality Please select Clinical Cardiology Electrophysiology Paediatrics Geriatrics Heart Failure Surgery Other - please specify

Speciality - other

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Workplace Please select GP Practice Private Practice Hospital Clinic Industry Academic Institution Government Patient Group Other - please specify

Workplace - other

How did you find out about HRC Please select Email bulletin Journal advertisement From a colleague HRC website Previously attended HRC Social Media Other - please specify

How - other

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