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 ,
State Zip
Company website

Are your products/services available statewide in Ohio?
If no, what specific areas of Ohio would your product/service cover?
Sponsorship Level - select a level to make your commitment:
Preferred payment method:
   - denotes required fields