Sponsor and Exhibitor Application 2022

OMDA - The Ohio Society for Post-Acute and Long-Term Care Medicine

Annual Ohio Long-Term Care Symposium


First Name:
Last Name:
Credentials:
Title:
Email:
Mobile Phone:
Work Phone:
Organization:
Address:
City:
State
Zip
Product Theater - $3,500
(Please contact jeannine@ohiomda.org for availability)
Platinum Sponsor - $3,500
Gold Sponsor - $2,500
Exhibitor - $1,500
Symposium Safety Protocol
I acknowledge and agree to the Symposium Safety Protocol outlined below.
- All registrants, speakers, exhibitors, and vendors participating in OMDA22 are required to provide proof of vaccination to COVID-19 prior to entry.
- At the present time, we do not anticipate a requirement for negative COVID testing to gain entry. However, the emergence of new variants and subvariants is likely to continue and OMDA reserves the right to change the testing requirement should that prove to be prudent closer to the time of the symposium. 
- Also at the present time, face masks are recommended but not compulsory. OMDA reserves the right to modify the mask policy up until the time of the symposium so that attendees may have the safest possible experience.
- Strict social distancing will not be enforced during the event, but every attempt will be made to limit avoidable congregation during registration, breaks, and meals.
Hold Harmless
I acknowledge and agree to the hold harmless provisions set forth below.
Please be advised that there are FDA restrictions on the promotion of investigational and pre-approved drugs and devices. You can obtain specific information from the FDA at the website: http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/CFRSearch.cfm?fr=312.7
We are providing CME credit for the program, therefore I bring to your attention the following Accreditation Council for Continuing Medical Education (ACCME) Standards for Commercial Support at: https://www.accme.org/accreditation-rules/standards-for-integrity-independence-accredited-ce
You agree to abide by the ACCME Standards for Commercial Support, while will hold OMDA - The Ohio Society for Post-Acute and Long-Term Care Medicine and the AMDA - The Society for Post-Acute and Long-Term Care Medicine harmless from any liability, damages, or costs (including reasonable attorneys' fees) that may arise as a result of your exhibiting at this CME conference. Without limiting the breadth of this hold harmless agreement, you acknowledge that it shall extend to include the loss, damage, or theft of any equipment or materials you bring to the conference site as well as injuries that any of your employees or agents may incur.
 
Payments to OMDA are not deductible as charitable contributions for federal income tax purposes, however they may be deductible under other provisions of the Internal Revenue Code.
   - denotes required fields