PaACC Poster Abstract Submission Form
Thank you for your interest in submitting an abstract for consideration at the
PaACC 2012 FIT Educational Conference - Cardiac Cath Lab: Basic to Advanced Concepts
April 28th, at the Crowne Plaza Valley Forge, in King of Prussia, PA
or
May 12th, at the Four Points Sheraton - Pittsburgh North in Mars, PA.
Abstracts must be submitted by April 2, 2012
Acceptance Notification will be April 6, 2012
To be eligible
You should be in active training at the time of the meeting.
Presented materials may derive from original clinical or basic research,
not
case studies.
Research already accepted for presentation at a national meeting is
not
eligible for this competition.
While we hope for a good response, a minimum of 5 abstracts must be accepted per meeting location in order for the competition to be held.
The poster session will include monetary awards of $1000, $750, and $500 to 1
st
, 2
nd
and 3
rd
place winners respectively.
The posters are to be brought
in paper format only.
All poster presenters need to be present on Saturday for the award announcements.
*
First Name
*
Last Name
*
Degree
*
In active training at:
*
Address 1
Address 2
*
City
*
State
*
Postal Code
*
Business Phone
*
Email Address
*
Abstract Title -
Enter the FULL TITLE of your submission. This will be used for printing in the final program
*
Category:
Original Clinical
Basic Research
*
Submitting for which meeting location?
Eastern PA - King of Prussia
Western PA - Mars
Abstract Authors:
Name
Affiliations
Email
Author
Author
Author
Author
Author
Author
Author
Author
*
Permission/ Author Release:
Permission from all authors to submit this abstract
Yes
No
*
Permission to Print:
please indicate if you give us permission to print your submission in hardcopy if it is accepted for presentation.
Yes
No
*
Presenter Biography:
Provide a 3-4 sentence biography exactly the way you would like it printed in the conference program. Your biography is limited to 150 words.
0/150 words
Attach Abstract Here
*
Indicates Response Required
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Questions/ Concerns:
PaACC, 777 East Park Drive, PO Box 8820, Harrisburg, PA. 17105-8820
Phone: 717-558-7750 ext: 1595
Email:
paacc@pamedsoc.org