Event application CETRAS

The information provided by filling out this application form will be used for the preparation of the event you've requested. We can only guarantee optimal logistics and quality of specimens whenever we receive adequate and exact information.

Please take some time to fill out this form.

Applicant information

Full name (Required)

Position

Organisation (Required)

Phone (Required)

E-Mail (Required)

Contact person (if not the same as applicant) for the practical organisation of the event:

Full name

Position

Phone

E-Mail

Event information

Event date (Required)

Event description (Required)

Number of attendees (Required)

Teacher(s)

Are you planning to collect data and/or prelevate any human material and/or capture footage for scientific purposes during the event? (Required) Yes (Yes) No (No)

Are you planning to collect data and/or prelevate any human material and/or capture footage for commercial and/or promotional purposes during the event? (Required) Yes (Yes) No (No)

Specimen information

Number of specimens (Required)

Embalming type (Required) Thiel (soft tissues, flexible joints, in vivo resemblance) Zinc chloride (rigid tissues e.g. formaldehyde embalming) Fresh frozen (only for research purposes!)

Region of interest (Required)

Special specimen requirements and/or known interferences from previous procedures:

Default (end)

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