HearingLossWeb Advertising Listing Form(Please use this document as a guide and email your submission to advertising@hearinglossweb.com. Or you may print this form, fill it out and mail it to the address at the bottom of the form. Name: ______________________________________________________ Address: ______________________________________________________ City, State and Zip: _________________________________________________ Voice Phone: ______________________________________________________ TTY: ______________________________________________________ Fax: ______________________________________________________ email: ______________________________________________________ Website: ______________________________________________________
Hearing Loss and Professional Organization Memberships:
Organization Description (Describe your organization, its products and services. What do you want potential clients to know about you? What makes your product special or different?):
Website Link Placement (Select desired link location(s) from the Resource Directory Home Page and indicate here.)
Newsletter text ad (This short ad goes in our weekly email newsletter. Just grab readers' attention and give them appropriate contact information - Max 8 lines, 65 characters per line):
Hearing Loss Web Or, you may email the information to advertising@hearinglossweb.com and send separate payment. |