ISCP - International Society of Cardiovascular Pharmacotherapy

1. Organiser Details

Name

Address

City

Country

Postal/ZIP Code

Telephone number

Fax number

Email Address

2. Requester

Name

Telephone number

Fax number

Email Address

3. Event

Event Title

Web address

Please specify

Start date

Venue Name

City

Country

4. Objectives

Programme objectives

Activities

Workshops

Round Tables

Plenary Sessions

Symposia Seminars

Other (please specify)

Please provide a copy of the preliminary programme including talk titles, name and affiliation of participating faculty.

Please indicate the source of financial support for the event.

The requester agrees to pay the ISCP endorsement fee:

Meetings initiated by ISCP Members and/or Local Governors and which have no commercial sponsorship: €500.00

Yes

Meetings initiated by ISCP Governors, BOD members or ISCP members, and receiving a degree of financial support (often involving professional event organisers): €1,000.00

Yes

For any other meetings not fulfilling the criteria indicated under points 1 and 2 above: €2,000.00

Yes

(Under exceptional circumstances ISCP may grant official endorsement without charging a fee. Applicants who wish to apply for endorsement fee exemption should indicate this on the application form and contact Ms Lourdes Marenco in writing.)

Will the requester grant ISCP permission to record/videotape selected sessions?

Yes

6. Statement

Requester statement and/or supporting comments.

Name

Date

Request for

ISCP endorsement of meetings - ISCP Members

1. Organiser Details

2. Requester

3. Event

4. Objectives

Activities

Please provide a copy of the preliminary programme including talk titles, name and affiliation of participating faculty.

5. Funding, Fees & Permissions

Please indicate the source of financial support for the event.

The requester agrees to pay the ISCP endorsement fee:

6. Statement