Advertisement/Sponsorship Form
Turkey Directory For Arab Patients

 How to use this Form:

Use one Form per advertiser/sponsor
Type in the Form, on screen response, (complete applicable blanks). 
Press "TAB" to move between blank spaces. 
DO NOT CLICK ON "ENTER" while completing the form. If you do that, you will close the form and send incomplete Form!
DO NOT press the  "BACK" button because all information will be deleted if you leave this web page.

Please click on the button that apply to you or to your organization Your early payment guarantee your placement at top of your selected category, first come first serve basis.
 

Advertisers:

Consultants
Fee

 One Year: $132

3 years:
$297

5 years:
$396





Clinics
Fee

  One Year: $220

3 years:
$495

5 years:
$660





Hospitals       
Fee

  One Year: $350

3 years:
$787

5 years:
$1050

   

Sponsors:

Platinum
Fee

 One Year: $425

3 years:
$866

5 years:
$962





Gold
Fee

 One Year: $375

3 years:
$618

5 years:
$687





Silver
Fee

 One Year: $235

3 years:
$528

5 years:
$705


I would like to order the development of an Arabic web page which include Free web site hosting:
      One time fee: $65

     
Sample1Sample2Sample3; Sample4

Note:
If you order the development of the Arabic web page in addition to your directory advertisement, we will register your Arabic web page (free of charge) at Arabic Google which give you more promotion to Arab patients. Samples


PAYMENT: Made in full and advance, US Dollars

Date payment was sent/mailed    Total payment Sent $   

Your check Number 

Your Tracking Number (None USA Sponsors)  

Deadline: October 31, 2011



Name And Contact Information:

First Name
Middle Name
Last Name
Title
Business Name
Number  Street  Suite #
City
State/ Country/ Zip Code
Area Code
Telephone Number
FAX Number 
E-mail Address
Web Site Address 

Sending Your  Advertisement/Sponsorship Form

Payment by Check (USA)

Please complete, then print the Sponsorship Form and mail it with your check to:

Doctors' Marketing Service
P.O. Box 748 , Lake Forest, California 92609-0748
 

. Payment On line (None USA Sponsors)

To send your payment online, kindly use the following account information.
You may need your bank to help you in the electronic transfer of funds: 

DOCTORS MARKETING SERVICE 
Routing Number: 122201198
Account Number: 11072547
Farmers And Merchants Bank
To send the completed form on line,  click on the button below.
>>> Please Review The completed Form before you click on "Send It in". <<<
.
 

E. Mail: ceo.consultant@gmail.com

Back To " Turkey Directory For Arab Patients And Their Families"

 
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