TJO VIP VISIT FORM
GENERAL INFORMATION
Your Name
Date of Visit
-
Month
-
Day
Year
Date
VIP's Name
Company/Institution
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Purpose of Visit
List everyone who will attend the meeting
Would you like the VIP included on the calendar invite?
Yes
No
Would you like a reminder text sent to the VIP on the morning of the meeting?
Yes
No
Would you like any swag for the meeting? (For specific requests, please describe the item.)
Yes
No
Items
What time is the meeting?
Will the meeting be on-site/off-site? (If off-site, please provide the location.)
On-site
Off-site
Location
Will there be an off-site activity? If so, please describe the activity.
ON-SITE MEETINGS
Will the VIP need an NDA?
Yes
No
What rooms will you need?
Will you need AV set up?
Yes
No
If so, what AV?
Will you need breakfast?
Yes
No
Will you need lunch?
Yes
No
Would you like coffee in the room?
Yes
No
Would you like to have snacks in the room?
Yes
No
Will you need a dinner reservation?
Yes
No
Restaurant Request
Would you like a supporting physician to attend the dinner (e.g., Dr. Hofmann or Dr. Pelt)? If so, please list your preferred physician support.
EMAIL TO OFFICE
As we prepare for your VIP visit, we like to ensure our office teams are aware of visitors on-site.
Would you prefer the update email to be from you or from the Administrative Assistant?
Me
Admin Assistant
Who should be included in the email, all office employees/only those invited?
All Employees
Attendees Only
Does the VIP have any dietary restrictions we should be aware of?
Do you have any other specific requests?
Would you like the agenda sent to VIP, attendees, or both?
VIP Only
VIP & Attendees
Please email the meeting agenda to admin@tjoinc.com after you submit this form.
Submit
TOTAL JOINT ORTHOPEDICS
MISSION-DRIVEN™
1567 East Stratford Ave.
Salt Lake City, Utah 84106
o. 888.890.0102 f. 801.486.6117 sales@tjoinc.com
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