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About
EVENTS
Practice Resources
ADVOCACY
Residents & Students
About
EVENTS
Practice Resources
ADVOCACY
Residents & Students
Purchase Form: Digital Ad in Resident & Student E-newsletter
Digital Ad in Resident & Student E-newsletter
Quantity
Price:
$250.00
Quantity
Primary Contact Information
Name of business / organization
(Required)
First name
(Required)
Last name
(Required)
Email address
(Required)
Phone
(Required)
Phone type
(Required)
Select option
Home
Office
Mobile
Advertisement Information
Name of business / organization
(Required)
Desired issue month(s)
(Required)
February
April
June
August
October
December
Digital ad file
Accepted file types: jpg, png, Max. file size: 300 MB.
You may provide your ad file later by email, and you may provide different ad files for different issues.
Destination URL
I.e., where users should be taken when they click the ad. You may provide your URL later by email, and you may provide different URLs for different issues. If you wish to measure your ad’s performance, set up UTM tracking and include the UTM codes within your URL.
Payment Information
Choose Payment Method
(Required)
Online
Bill Me
Review Your Purchase
I've reviewed the purchase details and approve.
Total
Credit Card
Mailing Address
Business name
Address line 1
(Required)
Address line 2
City
(Required)
State
(Required)
Country
(Required)
ZIP
(Required)
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