Visa Letter Request Form
 

International attendees who require a letter of invitation from the Ohio Dental Association may request to receive a visa letter inviting them to enter the United States in order to participate in the ODA Annual Session. U.S. citizens do not need to submit a request for a visa letter.

Please provide the following information. Required information is marked with an asterisk (*).

 
Title
*First Name
*Last Name
*Company
*Address
*City
*Postal Code
*Country
*Phone number
Please include country code
 
Fax Number
Please include country code
  
*Email

*Passport ID Number
*Date of Birth
  mm/dd/yyyy
*Start of Stay in US
  mm/dd/yyyy
*End of Stay in US
  mm/dd/yyyy
 
 

Have questions about this form?  Please contact Kelly Herbster at kellyh@oda.org or (614) 486-2700.