Event Request Form – JW – MED-EL MARKETING

Requested by:

Event Name:

Brief Description of Event:

Participants of Event:

(Select all that apply)

Other:

Total Number of Guests:

Event Start Date and Time:

Date

Time

Event End Date and Time:

Date

Time

Event City:

Event State / Province / Region:

AV:

(Select all that apply)

Food and Beverage:

(Select all that apply)

Room Setup:

Other:

Event Registration:

For CVENT or Microsoft Forms

If parking is not complimentary at selected site, will the region be covering attendee parking?

Other:

Do you need educational items:

SurfacePro Tablets for Software Training
CEUs
COA
TBL

(Select all that apply)

Do you need customized Marketing materials for this event?

Additional Event Information:

Attachments:

Click or drag files to this area to upload. You can upload up to 5 files.

Please upload any relevant files, images, examples, draft documents, agenda, course description, learner objectives, speakers, etc.

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Sign in sheets are required for HCPs and are to remain on file with Events. We can provide sign in sheet templates if you do not have them. Please remember to send sign in sheets to Events within two weeks of your event.

Please remember to visit the Resource section of the Home page to order your additional marketing materials at least 1–2 weeks before your event date.

Please order materials from Imagine or Ad Resources 1-2 weeks in advance of the event date.

Thank you for submitting your requests. Please allow up to 2 business days for a team member to acknowledge receipt of your request.

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EVENTS REQUEST FORM

Questions?