PACEP Advertising Contract

PACEP Display and Classified Advertising Contract

PACEP News is published quarterly with release dates in February, May, August and November.
Company Name*
Contact Name (Billing)*

First NameLast Name
Phone No. (Billing)*
Format: (000) 000-0000.
Address (Billing)*

Street Address

Street Address Line 2

CityState

Zip Code
Email*
example@example.com

I want to advertise in the following issues of PACEP News:

I want to advertise on PACEP website in the job back section. I understand that classified ads run for a 3 - month period:

I want to purchase just one listing
Job opportunity:
Advertising Fees*
prevnext( X )
Full Page$775.00

Quantity

Half Page (Vertical)$500.00

Quantity

Half Page (Horizontal)$500.00

Quantity

Quarter Page$325.00

Quantity

Classified Ad (0 - 75 Words)$125.00

Quantity

Classified Ad (76 - 150 Words)$200.00

Quantity

Online Job Bank Classified$225.00

Quantity

Total $0.00
Payment Method*

Check (made payable to PACEP)Credit Card (we will contact you directly for card information)
Note: Checks should be made payable to PACEP and mailed to:

Pennsylvania College of Emergency Physicians
800 N. Third Street, Suite 408-B
Harrisburg, PA 17102
Signature*
Signing my name on this application indicates understanding and agreement to comply with all policies, rules, regulations, terms and conditions by PACEP; willingness to abide by the payment policy; acknowledgement of having read the rules and regulations; and agreement that the rules and regulations are an integral and binding part of this contract. This is a legally binding contract, with cancellation at the discretion of the Pennsylvania College of Emergency Physicians.
Today's Date*

MonthDayYear
Date
Should be Empty:

PACEP Display and Classified Advertising Contract