|
|
Please type responses here: |
|
First name:
|
|
|
Last name:
|
|
|
Email Address:
|
|
|
Retype Email Address:
|
|
|
Phone number:
|
|
|
Institution:
|
|
|
Title:
|
|
|
Address:
|
|
|
City:
|
|
|
State:
|
|
|
Country:
|
|
|
Zip/Postal Code:
|
|
|
Do you work in a:
|
Physician Office Lab
Independent Reference Lab
National Lab
Acute Care Hospital
Other
|
|
Please fill in the specialty or specialties your facility services:
|
|
|
What is the biggest challenge in your facility?
|
|
|
If you have a Fisher account number, please list it here:
|
|
|
If you work in a hospital, what is your hospitals bed count?
|
|
|
How many tissue processors does your lab have?
|
|
|
What brand tissue processor does your lab have? (Check all that apply)
|
Leica HistoCore PELORIS
Leica HistoCore PEGASUS
Sakura VIP
Sakura Xpress
Epredia Excelsior
Epredia Revos
Milestone MAGNUS
Milestone PATHOS Delta
Other
|
|
What types of webinars would be of interest to you (for example: can include a histology process, information on histology consumables, etc…)?
|
|
|
By registering for this webinar, Whitehat uses your information to communicate with you regarding this webinar and other educational events.
|
Yes, I consent to give my information to receive communication regarding this webinar
|
|
By registering for this webinar, the information you provide will be shared with the webinar’s sponsors to provide you with information on products and services that may be of interest to you:
|
Yes, I consent to receiving marketing communication from this webinar’s sponsor following the webinar
No, thank you
|
|
After clicking 'submit', you will be redirected to the
webinar recording. You will also receive an email with the link
to the evaluation to fill out after you finish the recording. |
|
|
