Book Event Test

Contact Information

First Name*

Last Name*

Email*

Phone*

Billing Address*

City*

State/Province*

Zip Code*

Company*

Select Your Location

NBL Location:*

Start Date:*

Estimated Start Time:*

End Date:*

Estimated End Time:*

Procedure being Demonstrated:

Number of Stations Needed:

Number of Attendees:

Specimen Information

Do you need NBL to order your Specimen?:

Specimen Parameters or Rule Outs:

Specimen Type:*

Specimen Quantity:

Specimen Position:

Request Equipment

C-Arm + Tech:

C-Arm + Tech Quantity:

Drill Type:

Drill Quantity:

Suction:

Monopolar Bovie:

Bipolar Bovie:

Surgical Tech:

Saw Blade Type:

Saw Blade Quantity:

Saw Blade Size:

Specimen Holder/Mount(s):

Specimen Holder/Mount Type:

Video:

Request Equipment

Number of Arthroscopic Towers Required:

Size of Scopes and any other Specifics:

Please Specify any Specialized Instrumentation/Equipment you need NBL to obtain for this Course:

Compressed Air or Medical Gas Requested:

Event Materials

Please attach agenda/program and list of attendees – PDF FORMAT ONLY

File Upload

A/V needs during lunch?:

Sit-Down Dining?:

Catering Information

Describe Type of Catering Needed – E.G. Beverages, Snacks, Breakfast (Continental or Full), Lunch, Dinner, ETC.:

Conference Space and A/V Requirements

You will need to email any digital files at least 3 days prior to the day of your event. Conference rooms include any A/V equipment needed. Lab areas include a surgical light and can be equipped with a camera that can stream video feed into the conference rooms and auditorium. Please inquire about secure Internet livestreaming.

Add Onsite Video Stream and/or remote Livestream video?:

Please describe your A/V needs:

Demo Table Needed?:

Please list anything else that we need to be aware of to ensure your event is a success: