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Oklahoma
Academy of
Family
Physicians
Display and Referral
Advertising
Your chance to be at the
fingertips of over 2,500
Oklahoma health care
providers!
MEMBERSHIP AND
REFERRAL DIRECTORY
4-COLOR
RATE
$ 800
$ 950
$ 950
$1,250
$2,000
$2,000
$3,000
Full Page
Quarter Page
Reach the Oklahoma medical community with your business message by advertising in the
Please complete and return the form on the back of this brochure to place your companys display ad
in our STATE WIDE publication, (include ad copy and instructions).
TO BE INCLUDED: The charge of $85 includes physician name, street address, city, state, zip
code and phone number, which is a four (4) line listing (see example C).
A discounted rate of $70 per listing will be applied to those with two or more referral listings.
There is a $10 charge for each additional line (see example B for a 5 line listing). The name of your
specialty is included in the referral ad charge. Ads will be listed alphabetically by specialty, city, then
last name.
CARDIOLOGY
John Doe, MD
Cardiology, Inc.
123 SE 00th St
Anywhere OK 12345
405.555.1234
www.cardiiologyinc.com
CARDIOLOGY
John Doe, MD
Cardiology, Inc.
123 SE 00th St
Anywhere OK 12345
405.555.1234
CARDIOLOGY
John Doe, MD
123 SE 00th St
Anywhere OK 12345
405.555.1234
NOTE:
Print or type all information on form provided.
ONE physician allowed per referral listing.
If listing contains more than one specialty, a $10 fee per line may be charged.
Referral information may be mailed, faxed to 405.840.0138 or emailed to
elliott@okafp.org.
Please list contact person for each ad and/or referral listing.
A courtesy copy of the Directory will be sent to each advertising and referral listing
billing address.
INSTRUCTIONS: Print or type the information below; include contact person, billing address, ad size and any special instructions.
Electronic files should be a high resolution JPG, EPS file or a press optimized PDF file with crop and bleed. All colors must be created
as process colors and as CMYK. Spot-color ads will not be accepted. Do not staple ad to application. If ad is to be returned, please
enclose SASE. Contact Samantha Elliott at the OAFP office, 405.842.0484, regarding availability of back cover. A 50% deposit is
required to reserve specific placement in the Directory.
FIRM NAME:
CONTACT PERSON:
EMAIL:
ADDRESS:
CITY:
STATE:
TELEPHONE: (
FAX:
ZIP:
(
INVOICE ME $
PAYMENT ENCLOSED $
INSTRUCTIONS:
Print or type the information below; include contact person, physician name, specialty (listed in the referral section), address, and
additional lines to be printed. One physician ONLY per referral listing. Please attach additional paper if necessary to list all physicians.
LISTING SPECIALTY:
CONTACT PERSON:
EMAIL:
PHYSICIAN NAME:
ADDRESS:
CITY:
STATE:
TELEPHONE: (
FAX:
ZIP:
(
ADDITIONAL LINES: (Use for sub-specialties, fax numbers, satellite clinics, etc. Attach separate sheet if necessary.)
1.
2.
3.
BILLING INSTRUCTIONS:
INVOICE ME $
PAYMENT ENCLOSED $