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HomeCanCTO Faculty Registration

CanCTO 2023 Faculty Registration

Full Name *

First

Last

Designation

Institution *

Years since first staff position

N/A
0-5
5-15
15-25
>25

Primary clinical interest

CTO PCI
Non-CTO Complex PCI
Intracoronary imaging and/or physiology
Structural heart disease

Would you be interested in participating in a National CTO/Complex PCI Research Network?

Email *

Phone (best contact number) *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Hotel and Flight Info

Reminder to please be available for the conference onsite from 0700-1700 Friday, September 22 and 0700-1700 Saturday, September 23.

Hotel Info

Please identify for which dates you will need a hotel room from the available block. Note, for those faculty travelling from outside the greater Toronto area, CanCTO will cover the cost of a room for the nights of Thursday, September 21 and Friday, September 22 (checkout Saturday, September 23) at the Omni King Edward Hotel. There is opportunity to book additional nights either before or after the meeting at a cost of $469+tax/night.

Hotel Required *

Check-in

Check-out

Flight Info

Arrival Flight Number

Arrival Date / Time

Date

Time

Departure Flight Number

Departure Date / Time

Date

Time