Strategic Health Care Communications :: Advertising/List Rental Order Form

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Advertising/List Rental Order Form

Online Ad ($250 per month)
Number of months:
Starting Date:
Submitted by:	Advertiser Agency
Online Ad plus Newsletter Insert ($500)
Number of months:
Starting Date:
Submitted by:	Advertiser Agency
Rent our mailing list ($450 per usage)
Number of uses:
First Date Required:

Organization:

Contact Name:

Title:

Address:

City:

State/Province:

Zip/Postal Code:

Country:

E-mail:

Telephone:

Fax:

Need to talk to us sooner?

You can e-mail us at
healthcomm@aol.com.

Or you can call us M - F,
9 a.m. - 5 p.m. EST at
(914) 967-6741.