IAHF Member Survey 2020 – InterAmerican Heart Foundation

Organization Name*

Organization Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Telephone

Email Address*

Enter Email Confirm Email

Year your organization was formed.

Please attach a list of your current Board of Directors or write the names and positions of your Board of Directors in the space provided below.

Board of Directors Information

Main contact person for your organization*

First Last

Position*

Years with organization

Contact person email address*

Enter Email Confirm Email

Contact person telephone number

Please tell us the priority areas for your organization this year.*

What are your organization's main policy priorities for this year?*

What are your organization's main research priorities for this year?*

What are your organization's main meetings and events for this year?

Are there any other interests or activities you would like us to know?

How can the IAHF best support your priorities?

Do you currently receive our IAHF newsletter?

Yes
No

If you answered no but would like to receive our IAHF newsletter, please enter your email address below.

Thank you for your responses. Please reach out to any of the IAHF Board of Directors or Staff if you have additional questions or concerns that you would like to discuss in more detail.

InterAmerican Heart Foundation
7272 Greenville Avenue
Dallas, TX 75231, USA

Board of Directors:
Andy Wielgosz, President - Email
Nathan Wong, Vice President / President Elect - Email
Vicente Finizola, Secretary - Email
Debbie Chen, Member at Large - Email
Ronnie Bissessar, Member at Large - Email

IAHF Staff:
Eugenia Ramos, Executive Director – Email
Javier Valenzuela, Chief Operating Officer – Email
Beatriz Champagne, Director of Advocacy – Email

InterAmerican Heart Foundation Member Survey January 2020

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