Pictorial Directory Advertising Sheet
Pictoral Directory
Advertising Contract
Published by the Nueces County Medical Society
1000 Morgan Avenue
Corpus Christi, TX 78404-2042
2013-2014 Pictorial Directory
Advertising Contract
Deadline for Contract & Payment: March 18, 2013
Indicated below is our space order for the 2011-12 Nueces County Medical Society Pictorial Directory. I agree to furnish camera-ready copy by March 18, 2012. If I am unable to provide camera-ready copy, I agree to pay additional printer's preparation charges which will be billed before publication. I understand that I will be sent a copy of the directory as proof of publication.
SPACE ORDER:_____________________RATE:_________________
LOCATION PREFERRED:____________________________________
($100 additional for pages that are before the physician photos)
CAMERA-READY COPY:( ) Enclosed( ) Use last year's copy
( ) To be mailed or hand delivered by March 18, 2013
SPECIAL INSTRUCTIONS:___________________________________________
____________________________________________________________________
BUSINESS NAME:___________________________________________________
CONTACT NAME:_________________________________
PHONE:_________________________ E-Mail ADDRESS:______________________________________________________
MAILING ADDRESS:________________________________________________
CITY & STATE:_____________________________________
ZIP:____________________________
SIGNATURE:________________________________________________________
TITLE:______________________________________________________________
For additional copies of the NCMS 2011-2012 Pictorial Directory, complete this order form and return to:
Nueces County Medical Society
1000 Morgan
Corpus Christi, TX 78404-2042
Phone: (361) 884-5442
Fax: (361) 884-5478
Quantity
NCMS Members
____@ $20.00 per copy ($20 + $5.00 s&h)
SPAR Members
____@ $37.48 per copy ($30 + $2.48 Tax + $5.00 s&h)
Business (1-9 copies)
____@ $75.36 per copy ($65 + $ 5.36 Tax + $5.00 s&h)
Business (10 + copies)
____@ $37.48 per copy ($30 + $2.48 Tax + $5.00 s&h)
Name:_________________________________________
Company:_______________________________________
City:_____________________State______Zip________
Phone:_________________________________________
Please Make Checks Payable to: Nueces County Medical Society or NCMS