This form allows the Marketing team to submit pictures from Marketing events. Submittor DetailsSubmittor Name* Enter your name.Submittor Email* Please enter your Alaris email so that we may contact you regarding this submission if need be.Marketing Story DetailsFacility*Please select facility the event was held at.Name of Event* Title of the event.Date of Event* MM slash DD slash YYYY Event Start Time : Hours Minutes AM PM AM/PM Event End Time : Hours Minutes AM PM AM/PM AttendeesPlease list who attended this event.Keynote Speaker/Partner (if any) Please list if there are any Keynote Speakers/Partners for this event.Event Description*Please provide a brief narrative of why we are hosting the event/taking the picture(s).Is there a patient in any of the pictures?* Yes No Please provide the following: (1) Patient's name(s). (2) Confirmation with your initials that you have a signed photo release for each resident listed above (and in pictures).*Upload Image(s) Drop files here or Select files Accepted file types: jpg, gif, png, jpeg, Max. file size: 100 MB. Upload images or videos to be placed in a gallery of past events on website.CommentsThis field is for validation purposes and should be left unchanged.
