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Banner Ad Order Form

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					                  BANNER AD ORDER FORM
Banner ads will appear in the left hand column of TR’s Education Station page and the
right-hand column of The Therapeutic Resources Blog. Banner ads must be JPG, and 72 DPI
in resolution. We do not post flash-based or animated ads. Maximum width is 240 pixels, and
maximum height is 198 pixels.

    One Month          $99
    Two Months         $179
    Three Months       $269


Requested month(s) for ad to run:



Artwork must be emailed to: dmassengill@therapeuticresource.com.
Artwork must be received two weeks prior to the date you would like the ad to start running.

Company Name
Contact Person
Address
Phone Number
Fax Number
Email

Payment Method          Check (check enclosed)             Credit Card
Credit Card Type        Visa       MasterCard              American Express
Credit Card Number
Security Code
Expiration Date
Name on Card
Authorization Signature


Return this sheet fully completed to:
Therapeutic Resources, Seminars Department, 36-36 33rd Street, Suite 500, Long Island City, NY 11106

				
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