ISCP - International Society of Cardiovascular Pharmacotherapy

Request for

ISCP Joint Sessions

Your application to conduct a joint session.

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.

5. Statement

Requester statement and/or supporting comments.

Name

Date

Once completed, please return to: Lisa Demos, Senior Research Fellow, Department of Epidemiology & Preventative Medicine, Monash University, Victoria, Australia. Email: Lisa.demos@monash.edu