MedicalTranscription.com Web Advertising Order Form
Please print out this form and mail or fax it in with your payment You may also order via telephone Phone 973-948-5151 Fax 973-948-4295| Company Name | |
| Contact Name* | |
| Street Address* | |
| Address (cont.) | |
| City* | |
| State/Province* | Zip/Postal Code* |
| Work Phone* | Area Code Phone Ext |
| FAX | |
| E-mail* | |
| Web Address |
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Choose Advertising Spot |
X | X | ||
| Front Pg.Sponsor | Your Co. Name as Link | $800/yr one pmt. | ||
| Classy Classified | 50 words + link | $25/mo | ||
| Classy Classified | 50 words, link + graphic | $45/mo | ||
| Banner Advertising | Phys or MT Home Pg | Any Other Page | ||
| Size 1 Side | ||||
| Size 1 Bottom | ||||
| Size 2 Side | ||||
| Size 3 Top | ||||
| Size 3 Bottom | ||||
Monthly cost _________ x No. Months _____ = Amount Enclosed ____________
Name the page on which your banner is to appear: ___________________________________
Credit Card Type: Visa ___ MC ___ Amex ___ Discover ___ Card Number: _____________________________________ Expiration: ______________ Name on Card: _________________________________________________ Mailing Address: MedicalTranscription.com Inc. P.O. Box 6 Layton NJ 07851 Phone-in order: 866-894-9657 (toll free) Fax Order: 973-948-4295Ad Specifications E-Mail Ads and Graphics to ads@MedicalTranscription.com
Banners: html, gif or jpg format Banner Size 1: 150w x 60h (pixels) Banner Size 2: 150w x 300h Banner Size 3: 470w x 60h Graphics: We do not provide graphic services. Your banner must be pre-set to the above specifications. Classy Classifieds Graphics: Maximum 150 x 150 (pixels) Acceptance Policy: MedicalTranscription.com Inc. reserves the right to reject any advertisement for any reason at any time without liability, even if ad was previously accepted and used on MedicalTranscription.com. Acceptance of advertising does not represent endorsement by MedicalTranscription.com of any product or service offered. The advertiser accepts full responsibility for accuracy of statements within and claims resulting from their advertisements. If your ad is declined by MedicalTranscription.com, your money will be refunded.