Charitable Contribution and Corporate Sponsorship Request Form

Thank you for contacting Owens & Minor regarding a request for a charitable contribution or corporate sponsorship.  The following information is required for the consideration of all charitable contribution or corporate sponsorship requests:

Charitable Contribution and Corporate Sponsorship Request Form

* indicates required
Is the requesting organization considered to be a “Teaching Hospital” (as defined by the Centers for Medicare and Medicaid Services) or a Foundation to a Teaching Hospital?