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General Information
Distributor Company Name
*
Distributor Contact Person
*
Contact Email
*
Contact Phone
*
Event Information
Type of event
*
User training
Installation training
Operator training
Masterclass
Regular class
Sales training
Scientific Symposia
Educational event at congress (in-booth, lunch symposia)
Description of Event
*
Main educational content
*
Retina
Glaucoma
Anterior Segment
Healthcare IT
Practice management
Clinical application SPECTRALIS
Clinical application ANTERION
Hands-on operation SPECTRALIS
Hands-on operation ANTERION
Hands-on operation HEYEX 2
Learning objectives
*
Target audience
*
Preferred Language
*
Date
*
MM slash DD slash YYYY
Time
*
Fee
*
Expected number of attendees
*
CET/CPD educational credit applied for with professional society
*
Yes
No
Location Information
Type of Location
*
In-house at customer site
Hotel
Congress Center
Extraordinary event location
Meeting room requirements
*
Size of room
Room set up
Electrical requirements
A/V: Screen, Projector
Professional AV Service Provider
Catering Requirements
*
Support needed
Clinical Trainer
*
Organizational Assistance
*
Marketing/Promotional Activities
*
Invitation flyer
Newsletter
Website promotion
Technical Equipment
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Course Material
*
Name badges
Certificates
Feedback questionnaires
Handouts
Quiz equipment
Speaker & topic
*
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