RARE PATHOLOGY DAY
Saturday 30th October 2021

Thank you for taking the time to register to attend a streaming site, please fill out the below form

to confirm your participation.

CONTACT DETAILS

Title

First Name *

Last Name *

Email Address *

Mobile Number *

Organisation *

STREAMING SITE LOCATION

DO YOU HAVE A TICKET TO ATTEND THIS EVENT? *

Please ensure you have prepurchased a ticket prior to attending a streaming site. All delegates attending a streaming site must hold a valid ticket. To purchase a ticket please head to www.shda.org.au/structural-heart-webinars/

STREAMING SITES *

AUSTRALIA

WA

Fiona Stanley Hospital | Fiona Stanley Hospital, Education Centre Telehealth Rm 1.7, 11 Robin Warren Drive, Murdoch

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SA

GenesisCare | Tennyson Centre, Conference Room, 520 South Road, Kurralta Park, Adelaide

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NSW

Northern Rivers Cardiovascular Clinic | 90 Diadem Street, Lismore

Special Requirements or comments

Thank you for your time.

If you need have a query regarding streaming sites, please do not hesitate to get in touch with a member of the SHDA event team info@shda.org.au