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* 1. Your name:

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* 2. Your last name:

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* 4. Your country:

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* 5. In which of these therapies are you most interested (select all that apply)?

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* 6. In which way has COVID-19 impacted your value of digital channels?

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* 7. Which of the following topics are of interest for you?

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* 8. Which format(s) would you prefer?

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* 9. How frequently would you like to be contacted with relevant digital content?

EUROPEAN UNION DATA PROTECTION NOTICE
This Notice is a statement of how Abbott Vascular International BVBA (Abbott) processes your Personal Data provided with this form.
Abbott respects the EU data protection legislation. For more information on how we process your data, please visit the privacy policy section on advancedhearttherapies.com
If you have any queries in relation to the processing of your personal data please contact our EU data protection officer at http://www.eu-dpo.abbott.com/, or by post, at Abbott Vascular International BVBA - Park Lane, Culliganlaan 2B, 1831 Diegem, Belgium

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