Event Application

How would you like to proceed?

Select the type of submission that matches what you need from the Southern Implants team.

Step 1

Your Details

Tell us who is submitting this application.

First Name *

Last Name *

Email Address *

Cell Number *

Send Copy To (optional)

A copy of this application will be emailed to this address.

Step 2

Purpose & Listing

How should this event be listed and promoted?

How should this event be listed? *

Select all that apply.

📅 Public Events Calendar — visible to all site visitors 🖼 Home Page Banner Slider — featured prominently on the homepage 🔒 SIMS Calendar — for distributors & subsidiaries (private)

Step 3

Event Details

Tell us the basics about your event.

Event Name *

Event Type *

Conference

Cadaver Course

Hands-on Training

Online Webinar

Factory Tour

Academic Session

Start Date *

End Date *

City *

Country *

Venue (if known)

Event Program (if available)

Registration Page (if available)

Should we expect a full application to follow? *

No — notification only

Yes — full application to follow

Step 5

Marketing & Advertising

Tell us how you'd like this event promoted.

Social Media Post Type

"We will be there" — announcement post "Look out for…" — teaser post Custom suggestion — add your own idea below

Leave blank if no social media is required.

A5 Flyer

Digital (PDF) Print

Emailer Campaign

For larger events such as SIAD, Southern Edge, etc.

Yes

Web Banner

Yes

Additional Advertising Notes

Step 7

Staff & Factory Tour

Staff attendance and any factory tour requests.

Staff Attendance

SA HQ Staff Attending

Southern Staff Attending

Accommodation Required for Staff?

Yes

Hotel Suggestion (optional)

✈

Staff are required to arrange their own flights. Please ensure travel plans are made in advance.

Factory Tour

Factory Tour Required?

Yes

Preferred Factory Tour Host

Graham

Stuart

Trained Personnel

Note: your first choice may not always be available — we will assign the best available host.

Step 9

Training Setup

Practical details for hands-on training sessions.

📦

Training in a Box kits (implants, components, drills) are selected in Step 4 — Stock Requirements under "Training Stock".

Training Type *

Standard Training in a Box — drill and kit-based practical Cadaver Training — cadaver-based practical session Custom Training — describe your requirements below

Number of Training Stations

Setup Assistance from Southern Implants?

Yes

Step 11

Additional Info & Declaration

Anything else we should know, then confirm your application.

Additional Notes

ℹ

Please review all the information you have provided before submitting. Our team will assess your application and be in touch within 3–5 business days.

Event Contacts

Primary Contact

Required

Same as submitter

Full Name *

Email *

Cell Number *

Secondary Contact

Optional

Full Name

Cell Number

Declaration

I confirm that all information provided in this application is accurate and complete to the best of my knowledge. I understand that Southern Implants events team will review this application and contact me to confirm arrangements. *

Submit Your Event Here

How would you like to proceed?