Physician Registration

This form is for Physicians and APPs only. Industry representatives should use the Industry Rep Registration form located in the Sponsor/Exhibitor tab.

Credit card payments will be processed electronically.

SACS 2020 Physician Registration Form

First Name*

Last Name*

Badge Name

Email*

Company

Address*

City*

State*

Postal Code*

Phone*

Occupation*

Cardiologist

Cardiovascular Surgeon

Advanced Practice Provider

Professional Designation

Professional Designation (Other)

Specify Department/Specialty

ATTENDEE & EVENT REGISTRATION

Please indicate a quantity from each applicable field below. Your selection(s) will calculate automatically and provide a total below.

Spouse/Guest:

$200 (anyone over 20)

Spouse/Adult Guest(s) Name(s):

Please enter one full name per line

Children's Fee over 4 yrs. old ($50 per child):

Children's Fee under 4 yrs. (no charge):

Children's over 4 yrs. old Names

Please enter one full name per line

Children's under 4 yrs. Names

Please enter one full name per line

GOLF

(Optional) Golf Saturday:

$75 per person

Grand Total: $

CANCELLATION / REFUNDS

On or before April 15, 2019: 25% Cancellation Fee
April 16 - June 14, 2019: 50% Cancellation Fee
After June 15, 2019: No Refunds

PAYMENT METHODS

Select Payment Method:*

Credit Card (AX, VI, MC)

Check: Mail to SACS, 10300 Brier Mill Court, Alpharetta, GA 30022

NOTE: Credit card transactions will be assessed a 3% transaction fee.

Card Number:*

Name (as it appears on card):*

Billing Address:*

Billing Zip Code:*

Expiration Month:*

Expiration Year:*

CVV:*

Please only press the submit button ONCE. This process may take a few moments to complete as payment will be processed upon submission of this form. Thanks for your patience!

Updates:
- Invitation from Chairman
  SACS is excited to announce 2020 Chairman Vinod Thourani with Co Chair Jorge Alegria. Invitation from the Chairman to come…
- Save the Dates!
  Mark your calendars for SACS Conferences in 2020 and 2021! July 16 – 19, 2020 Omni Amelia Island Plantation, Jacksonville,…
- 2019 Annual Meeting Photos
  Our photographers captured smiling faces of all ages at our 2019 Annual Meeting. You can view and purchase copies directly…
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MISSION:

The mission of the South Atlantic Cardiovascular Society is to promote the advancement of current knowledge and skills in the field of cardiovascular care and to improve cardiovascular patient care.
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South Atlantic Cardiovascular Society A Non-Profit Organization for Cardiac Professionals
10300 Brier Mill Court
Alpharetta, Georgia, USA 30022
770-751-1461 Barb@bhevents.net

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Physician Registration

ATTENDEE & EVENT REGISTRATION

GOLF

Grand Total: $

CANCELLATION / REFUNDS

PAYMENT METHODS

Updates:

Newsletter Signup

MISSION:

Connect With Us

Useful Links

Quick Contact