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Corporate Sponsorship Application
Ohio State Medical Association's Corporate Sponsorships offer opportunities to vendors that help make the practice of medicine more cost efficient, compliant, and sustainable for physicians and for their practices.
Contact Information
First Name
Last Name
Job Title
Email Address
Work Phone
Company Information
Organization/Company
Company Address
City
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State
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Zip
Company website
Are your products/services available statewide in Ohio?
choose one
Yes
No
If no, what specific areas of Ohio would your product/service cover?
Sponsorship Level - select a level to make your commitment:
choose one
Partner $50,000
Collaborator $25,000
Champion $15,000
Supporter $5,000
Other
Preferred payment method:
choose one
credit card - 3% credit card fee will be included on invoice
check
ACH
- denotes required fields
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