Reservation Form - Hospital-Profiles.com

____ Represent my hospital with a basic profile, including text links, for 12 months. $375 
         

____ Represent my hospital with an unlimited number of banner ads on all search results 
         pages/directories along with a basic profile, including text links, for 12 months. $675 

____ Represent my hospital with text links for 12 months.  $225

____ Along with any above package, include an extended narrative profile with photo for 12 months. $100 

____ Along with any above package, include a 30-60 second video $100      

							
____ Along with any above package, include a 2 minute to 20 minute video. $650


							



Name: ____________________________________________________________________          

Title: ______________________________________________________________________

Hospital: ___________________________________________________________________

Address: ___________________________________________________________________

City: ____________________________________ State: ______________ Zip: __________ 

Phone: __________________________________ Fax: ______________________________

E-Mail Address: _____________________________________________________________



Signature: _______________________________________________ Date: _____________
         

Fax reservation to 646-329-6042

McDonald Communications 23 West 8th St. Suite 2-D New York, NY 10011