Clone of 2025 EMpulse Ad Order Form

Clone of 2025 EMpulse Ad Order Form

EMpulse Magazine: 2026 Advertising Insertion Order Form

PRINT Magazine
EMpulse 2026 will hit mailboxes this fall! Advertise to FCEP's 2,400+ emergency physician members, residents and medical students, along with hundreds of readers online, through its esteemed magazine! Browse through past editions here.

Use this form to order a print advertisement in 2026 EMpulse Magazine.

-Order Form Due: July 11, 2026

-Payment & Artwork Due: August 23, 2026

-Issue Hitting Mailboxes: October/November 2026

Choose from six different advertisement sizes.

Order Now; Pay Later

You will NOT be prompted for payment through this order form. You will be invoiced separately once your order has been approved.

If your artwork is ready, you can submit it now through this form. If not, we will follow up with you.

Please direct questions and final submissions to Dani Knipstein at dknipstein@emlrc.org.
Advertiser Information
Company Name
Company Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Contact

First NameLast Name
Contact Email
example@example.com
Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Designer/Artwork Contact

First NameLast Name
Designer Email
example@example.com
Order Form

EMpulse Advertising Print Options:

Full Page Ad. Design Specs: 8.5” x 11” with a 0.125” bleed

Full Page Ad

Design Specs: 8.5” x 11” with a 0.125” bleed

$1,000.00

Sponsored Article. comes with (1) banner ad

Sponsored Article

comes with (1) banner ad

$1,000.00

1/2-page Ad. Design Specs: 8” w x 5” h

1/2-page Ad

Design Specs: 8” w x 5” h

$800.00

1/3-page Ad. Design Specs: 2.5” w x 10” h

1/3-page Ad

Design Specs: 2.5” w x 10” h

$600.00

1/4-page Ad. Horizontal Design Specs: 8” w x 2.5” hVertical Design Specs: 3.9” w x 5” h

1/4-page Ad

Horizontal Design Specs: 8” w x 2.5” hVertical Design Specs: 3.9” w x 5” h

$400.00

1/6-page Ad. Design Specs: 2.58” w x 5” h

1/6-page Ad

Design Specs: 2.58” w x 5” h

$300.00

Enter coupon

Total

Terms & Conditions*

This order is subject to approval by the Editorial Committee. I understand that I will be invoiced separately for this advertisement and payment is due by October 3, 2025.
Artwork
Is your artwork or advertisement copy ready to submit now?
Please upload your PRINT READY advertisement(s) here:

"Print ready" means you have proofed everything for accuracy and have included bleeds on full-page ads. No edits to your ad will be accepted upon submission.
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Signature
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