Vitrification Workshop Registration Form

Thank you for your interest in attending the next Kitazato Hands-On Vitrification Workshop.

Please take a few minutes to complete this form in order to schedule your attendance to the next
workshop.
We will be back to you to confirm the dates once you’ll forward this document properly filled.

Possess Own Egg BankYesNo

Vitrification in your Current Practice

Materials in Your Current Practice

Which is your Workshop Objective?

Gain first knowledge of the Cryotop® MethodCompare the Cryotop® Method to my current Vitrification systemAcquire experience to introduce the Cryotop® Method into my practiceReview the Cryotop® Method and Learn “Tips & Tricks” to improve my current resultsResolve vitrification problemsOther (Specify)

What do you think about Kitazato?

I believe Kitazato Cryotop® Method performance shall be:

More successful than other Vitrification systems / the Vitrification system I currently useSimilar to other Vitrification systems / the Vitrification system I currently useLess successful than other Vitrification systems / the Vitrification system I currently useAll Vitrification media are the sameAll Vitrification devices are the same

Have you Attended a Kitazato Vitrification Workshop previously?YesNo

We request your authorization to collect the data you filled in this form:

I have read and understood the privacy policy in its entirety and I consent to the transmission of the data that I have provided
This authorization and assignment are done free of charge, and I acknowledge that I have nothing to claim against the company or its clients for this purpose.

The information you've put in our knowledge, will be treated by Biomedical Supply S.L. to manage the current request based on your consent. You can also obtain your personal data stored by Biomedical Supply by contacting us at rgpd@dibimed.com. You can access and update your data, if it is necessary, whenever you want, or exercised the rest of individual rights of GDPR following our Privacy Policy. Data will be kept until cessation of this data processing is requested. The data will not be transferred to third parties except in cases where there is a legal obligation.

Thank you for your time!

We remain at your service for any additional questions or comments you might want to discuss personally.