Cryotec Method Workshop Registration Form
Thank you for your interest in our Cryotec Method hands-on workshop! Please fill out this form in all the required sections.
Our staff will give you confirmation of your registration. I hope to see you at our booth at ASRM 2017 (Booth #737)!

**Please note that, in order to make this opportunity available to as many organizations as possible, ONE PERSON from one organization is eligible to register. Thank you for your understanding and cooperation.**

**Please try to show up at the booth (#737) 5 minutes ahead of time; if you have not shown up 5 minutes past the time scheduled, the reservation may be invalid, and a person on the waiting list may fill the slot instead. **

**We do and will not sell or share free of charge any of your personal information you are now entering which is including, but not limited to, name, address, email, or phone number to any one out of the corporate family except in case of governmental requirement.**

Email address *
Salutation *
First Name *
Your answer
Middle Name (if any)
Your answer
Last Name *
Your answer
Name of your organization *
Your answer
Country *
Occupation *
Title/Position *
Your answer
Address *
Your answer
Address 2 (optional)
Your answer
City *
Your answer
State/Province/Prefecture *
Your answer
Zip Code *
Your answer
Phone number *
Your answer
Your organization's ART annual cycles (numbers only) *
Your answer
Your organization's FET annual cycles 20 *
Your answer
What cryopreservation method are you currently using at your organization? *
For how many years have you been using the method you chose above? (numbers only; if none, type "0") *
Your answer
How many years of experience do you have as an embryologist? (numbers only) *
Your answer
Are you in a position to make decisions to introduce the Cryotec Method into your organization? *
When do you think your organization will start using the Cryotec Method, if at all? *
Please note that it is important that each attendee follows trainers' instructions during the workshop in order to ensure all participants' satisfactory performance and results. *
Please further note that the Cryotec Method's 100% survival rate is expected only if its protocol is followed strictly. *
Which workshop do you wish to attend? (Please note that we may not be able to reserve a seat for you in the session you desire if it is already full. Please note your confirmation.) *
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