Ad Placement

Date:

Name:

Practice Name:

Address:
Address Line 2:

City:   State:   Zip:

Phone:   Home Business Cell

Fax: E-mail: Practice Type:

Please have my ad appear in a total of 1 2 3 4 Epitome issue(s).

Publication Dates and Deadlines

Frequency of Publication: Six times a year.

Mailing Date: First day of cover date.

Cancellations are accepted either in writing or by email and must be received on or before the deadline of the scheduled issue.

*I understand the ad will also be posted online after payment is confirmed.

Please type your ad copy below:
 

Payment Options

I wish to pay online with my ad. I understand that if there is a substantial discrepancy in calculation that I'll be contacted by the ISVMA office and assessed the appropriate charges. Credit cards currently accepted are VISA, MasterCard and U.S. Diner's Club.

If Paying Online, Enter your Payment Amount Here:

I wish to submit my ad and have the ISVMA office contact me with my total owed for payment by credit card.
I wish to submit my ad and have the ISVMA office contact me for invoicing.

OR