• Fulfillment Request Form

    The Medical Student Outreach Program is proud to support your recruitment efforts. Fulfillment requests must be made at least 21 business days in advance. Once your request is received, please allow our team 5 business days to process your request. Fulfillment will be at the discretion of the American Medical Association.
  • Who is your Field Student Recruitment Manager?*
  • Event Type*

  • Have you applied for grant funding for this event?*
  • Is this request related to an AMA guest speaker event?*
  • When is your event?*
     / /
    2 digit month, 2 digit day, 4 digit year
  • When do the items need to be received by? *
     / /
    2 digit month, 2 digit day, 4 digit year
  • What Promotional Items would you be interested in receiving? Please note: quantities may be limited and requests are not guaranteed. Please limit your request to a maximum of three items.*

  • Do you need an AMA Table Runner?*
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  • Thank you for visiting our page.

    We would like to inform you that our form is under a new URL now, here: 

    Event Form

  • www.ama-assn.org/msop-resource-center

    Processing times may be delayed. Please allow a minimum of 15 business days for shipping and process. Please note- quantities may be limited and requests are not guaranteed. Product substitutions may apply. Your request will be reviewed within 2 business days from submission. Fulfillment will be at the discretion of the American Medical Association.
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