Faculty invitation Name / Last name*Country*Institution*Email*I am willing to accept the invitation to ICE2021 Faculty*AcceptDeclineI would like to participate as:SpeakerChairperson/session moderatorBothPlease provide a title of your lecture as you would like it to appear in a scientific program (you can provide multiple titles in order of your preference, please seperate titles by ; )Are you available to chair a session?*YesNoIf you answered ’Yes’ what is your preferred session category? (you can choose multiple fields)If you answered ’Yes’ what is your preferred session category? (you can choose multiple fields)MhealthAmbulatory ECG monitoringAtrial fibrillationRisk stratificationImplantable devicesVentricular arrhythmiasAblationECG interpretationAthletesSyncopeIschemiaComputingBasic sciencePaediatricsAutonomic nervous systemClinical casesCOVIDWhat is the maximum number of activities you could accept as a Lecturer (numer 0-3)?What is the maximum number of activities you could accept as a Chairperson (numer 0-3)?Are you willing to share some COVID- related data? Please provide a title.Do you agree that your e-mail address will be shared with your co-speakers and chairpersons of a session in order to facilitate communication between moderators and presenters?*YesNoSend Error occured. Please confirm your data and submit again:
