Education & Research

Bulletin Advertising Order Form

Desired Frequency:
	Please choose the desired frequency of the ad you wish to run.
Size of Ad:
	Please choose the size of your ad.
When will your ad run?:
	Please indicate in which months your ad should appear
Additional color and cost:
	Please indicate what type of color your ad has. The cost of the color will be added to the black and white rate.
Type of Ad:
In which graphics format will your ad be submitted:
	We only accept .tif, .eps, or .pdf files for camera-ready ads. If you are submitting a word document, it will have to be typeset.
Typesetting Fees:
	If you chose "text, (typesetting required)" from the box above, you must choose the corresponding typesetting fee.
How will you submit your ad:
Pick up ad:	mm/dd/yy
	If you chose pick-up ad from a previous issue" please choose the date of the previous issue
20% Member Discount::
	Enter your Member ID # for a 20% discount.
15% Agency Discount:
Advertising Contact:
Company/Name:
Address:
Phone Number:
Fax Number:
Email:
Today's Date:	mm/dd/yy
Comments?:
	Please include any special instructions, comments or your ad copy to be typeset in this space.

American Academy of Otolaryngology — Head and Neck Surgery

1650 Diagonal Road, Alexandria, VA 22314-2857

Phone: 1-703-836-4444