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Transcatheter Aortic Valve Replacement and the PROGRESS Trial for Moderate Aortic Stenosis Registration

Complete the form to register for the Transcatheter Aortic Valve Replacement and the PROGRESS Trial for Moderate Aortic Stenosis at Annenberg Health Sciences Building.
  1. *
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  6. *
    Please provide your Zip Code to assist us in planning future class offerings
    1. Male
      2. *
    2. Female
    3. Prefer not to say
    4. Prefer to describe myself as
    Please provide the Gender with which you associate.
  8. *
    A registration confirmation will be emailed to this address
  9. *
    Please provide your best contact number. This would only be used if there are class date/time/venue changes that require direct communication.
  10. calendar
    Please provide your Date of Birth.
    1. In-Person
    2. Online
    *
    This event is being held in-person and virtually on Zoom. Please indicate how you will attend
  12. *
    The total number of attendees in your group including yourself
  14. *
    Enter the text above to verify your registration

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