Intervention CRT education courses of interest table Thank you for your Merit Medical education curriculum. Space is limited for each course.Merit Medical representatives will inform you about the course availability. Class types* Thinking in the CRT High school curriculum types* primarysenior The old house The future course notice? containing The course date* From the year month day Course site* The participants information Name:* First of all, Name: Telephone:* mail* Facilities information Name of institution* Service location - country* AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaawayAntarcticaAntigua and barbudaArgentinaArmeniaArubaAustraliaAustriaazerbaijanThe BahamasbahrainBangladeshBarbadosbelarusBelgiumBelizebeninBermudaBhutanBoliviaBonaire, st. Especially, xie and sabaBosnia and herzegovinaBotswanaCloth d islandBrazilBritish Indian Ocean territoryBrunei da lu salamBulgariaBurkina fasoBurundiIn Cambodia,CameroonCanadaCape Verde,The cayman islandsThe central African republicChadChileChinaThe Christmas islandCocos islandsColombiaThe comorosThe democratic republic of the CongoThe republic of the CongoThe cook islandsCosta ricaCroatiaCubacuracaoCyprusThe Czech republicThe ivory coastThe DanishdjiboutiDominicThe Dominican republicEcuadorEgyptEl SalvadorEquatorial guineaeritreaEstoniaAce tile tiny (Swaziland)EthiopiaThe falkland islandsThe faroe islandsFijiFinlandThe FrenchFrench GuianaFrench PolynesiaThe French territory in the southGabonThe GambiaGeorgiaGermanyGhanaGibraltarThe GreekGreenlandgrenadaguadeloupeGuamGuatemalaguernseyguineaGuinea BissauGuyanaIn Haiti,Hurd island and McDonald's islandsThe VaticanHondurasHong KongIn Hungary,IcelandIndiaIndonesiaIranIraqThe IrishThe isle of manIsraelItalyJamaicaJapanNew JerseyJordankazakhstanKenyaKiribatiKuwaitkyrgyzstanLao people's democratic republicLatviaLebanonlesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgmacauMacedoniaMadagascarMalawiMalaysiaThe maldivesMaliMaltaThe Marshall islandsMartiniqueMauritaniaMauritiusmayotteMexicoMicronesiamoldovaMonacoMongoliaMontenegroMontserratMoroccomozambiquemyanmarnamibianauruNepalIn the Netherlands,New caledoniaNew ZealandNicaraguaNigerNigerianiueNorfolk islandNorth KoreaNorthern mariana islandsThe NorwegianOmanPakistanpalauThe palestinians, the nationalpanamaPapua New GuineaParaguayPeruThe PhilippinesPeter KanePolandPortugalPuerto RicoQatarRomaniaRussiaRwandareunionSt. Taylor mSt HelenaSt kitts and nevisSt. LuciaSt. Martin'sSaint Pierre and cloningSaint Vincent and the grenadinesSamoaSAN marinoSAO tome and principeSaudi ArabiaSenegalSerbiaThe seychellesSierra leoneSingaporeSt MartinSlovakiaSloveniaThe Solomon islandssomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudansurinamesvalbardThe SwedishThe SwissSyriaTaiwantajikistanIn Tanzania,ThailandEast timorTogotokelautongaTrinidad and TobagoTunisiaTurkeyturkmenistanTurks and caicos islandstuvaluIn the outlying islandsUganda,UkraineThe united Arab emiratesThe BritishThe United StatesUruguayuzbekistanvanuatuvenezuelaVietnamThe British virgin islandsVirgin islands, the United StatesWallis and figure the islandsThe western SaharayemenIn Zambia,ZimbabweThe islands Facilities for the position* State *AlabamaThe state of AlaskaAmerican SamoaArizonaArkansasThe state of CaliforniaColoradoConnecticutDelawareThe district of ColumbiaFloridaGeorgiaGuamHawaiiThe state of IdahoIllinoisindianaIowaKansasKentuckyState of LouisianaMaineMarylandMassachusettsMich.MinnesotaMississippi.The state of MissouriMontanaNebraskaThe sierra NevadaNew HampshireNew JerseyNew MexicoNew York,University of north CarolinaNorth DakotaNorthern mariana islandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode Island,In south CarolinaSouth DakotaThe TennesseeTexasUtahThe U.S. virgin islandsvermontIn Virginia,Washington, dc,West VirginiaWisconsinWyomingAmerica's armed forcesThe armed forces in EuropeThe armed forces in the Pacific Ocean The zip code * Experience and other information Body type* Academic/teaching institutions Based on the private/community You in the position of the organization* The attending physician or surgeon companion resident Lab manager Technology/nurse other If you chose "other" in the above, please provide details Health care professional* anesthesiology Intensive care Cardiac electrophysiology Emergency care General surgery Infection control Interventional cardiology Interventional kidney disease (CKD) Interventional oncology Interventional pain management Interventional radiology other TBD If you chose "other" in the above, please provide details You perform of CRT case number every year No experience 0 to 5 6-25 26-50 50 + How is you refer to us? My Merit The doctor attended Merit plan Other word of mouth The Internet search advertising Seminar/conference/trade show Social media mail Choose to join and privacy information * email communicationI hope that through E-mail received from Merit Medical company (1600 West Merit Parkway, South Jordan, UT 84095) products, activities, such as news and offers personalized information. Choose to join the email* is There is no I hereby further agrees to himself for these purposes is inserted into the data fields in the personal data, including personal files, so that based on before and in the future I may choose, better customize advertising information according to personal interests.You can withdraw your approval.This does not affect the legitimacy of the ending at cancellation processing.In addition, you shall have the right at any time against handle your personal data for direct marketing purposes.On the rights of your personal data and more information, please refer to the usPrivacy statement. Personnel attending the meeting record and rights granted with the approval of related statementMerit Medical Nederland BV (" Merit Medical ") in your permission, during your registration webinars to create video record (" records ") : 12 years on XNUMX 2020 intervention CRT.You and the activity of the other participants can ask clinical expert introduction during and immediately after the problem, will conduct a video and audio recording (and will record).Network conference held after the Merit that dominate all willing to work with network seminar participants share the record, and record for the purpose of further training mentioned in article 2.1. The controller's identity and contact informationResponsible for handling your data controller is Merit Medical Nederland BV, tel: + 43, 3588222, 31 email:[email protection]2. Processing purposeCreate, record, to all the participants and others (especially the Merit of the Medical staff) to show records and for training purposes related to the processing of your personal data in the service of the following purposes: to promote Merit Medical brand and its products and/or to the public, potential advertisers and Merit Medical provide services, and for training purposes.3. Relevant data categoriesMust provide the following mentioned in the personal data, to be able to record and present the purpose of the mentioned in article 2: (I) video and audio recordings (may include special categories of personal data, especially the health data) (ii) name.4. Transfer to a third countryIn your consent, your personal data will be stored and/or transferred to a third country (outside the eu/European economic area), such as the United States, the country does not provide comparable to the eu data protection level of data protection laws.5. Voluntary disclosureAgree to release the specified in article 3 data categories is voluntary, is not a law or contract or necessary.You any agreed to Merit is the only result of Medical record for anonymous processing, so that you cannot be identified or Merit Medical records may not be used for this purpose.6. RevocationYou have the right to withdraw your approval for free at any time, for example by email sent to:[email protection]Withdraw agreed to withdraw its consent before will not affect the legitimacy of the process based on agreed to.7. More informationFor more information on data protection and your rights, please refer to our privacy statement associated with the participants of the records in attachment. Agreed to declare and rights grantedBy clicking on the"Agreed to personalized recording"I agreed to in accordance with the above comments to deal with my personal data, to create, record and share.It also includes as described above the storage/transport to a third party, it does not provide with the eu data protection law equivalent level of data protection.This also applies to these data and special categories of personal data (such as health data) related to the situation.In addition, I agree with for the purpose to the use in records created during the process of making video and audio recordings.In particular, I agree to show others records for training purposes, and agreed to before the show others records as part of creating a record to adjust and/or modified.Please note:If you click on"Agreed to anonymous recording"We will create a recording, but we will be anonymous, in order to we can't identify your before using it. Agreed to* Agreed to anonymous recording Agree with personalized recording * required.If you do not provide the personal data, we may not be able to (full) in response to your request. The old house The Status registered The old house Please select your topic of interest Select all The right coronary sinus cannula trap Venous plasty other The old house If you chose "other" in the above, please provide details The old house Choose to join - interest I'm interested in from the Merit that dominate to obtain more information about the courses. The old house Choose to join - email communication I'm interested in receiving from Merit that dominate the email about news, products and activities. The old house Privacy statement Privacy Notice < / a >." id="choice_223_22_1" tabindex="119">We deal with you provide personal data in response to your request.On the rights of your personal data and more information, please refer to the usPrivacy statement. Transportation informationPlease let us know where the course material to the. The old house address The street address city State/province/region Zip/postal code annotation This field is for the sake of verification, and should remain the same.
Intervention CRT education courses of interest table