ADC Medi-Alert Help Button

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Banner Advertising

ADC Medi-Alert Services invites you to become an advertiser on our website,
Medi-Alert.com. If you or a family member subscribes to our medi-alert service, your ad will be placed at no charge. Your website will also be placed in our website directory. It's a win win situation.

** PLEASE DESCRIBE THIS IMAGE **
Please fill out the following information.

Name:

Company:

Address:

Address 2:

City:

State:

Zip Code:

Website Address:

Type of Product or Service:

Phone:

Email:

Please confirm your email:

How did you find our website?

Comments and questions:

Select Ad type

Small banner 234 x 60 pixel ad located at top of a page. This ad will rotate along with other banner ads.

** PLEASE DESCRIBE THIS IMAGE **

Large banner 468 x 60 pixel ad located at the top of a single page that you select (if that page is available - only one large banner per page)

** PLEASE DESCRIBE THIS IMAGE **

Large banner 180 x150pixel ad located at the top of the front page. This banner will be rotated with 3 other banner ads and will occupy position #1 for the greatest exposure.

** PLEASE DESCRIBE THIS IMAGE **

Large banner 120 x240 pixel ad located at the top of the front page. This banner will be rotated with 3 other banner ads and will occupy position #2 for the 2nd greatest exposure.

** PLEASE DESCRIBE THIS IMAGE **

Large banner 150 x 400 pixel ad located at the top of the front page. This banner will be rotated with 3 other banner ads and will occupy position #3.

** PLEASE DESCRIBE THIS IMAGE **

After we receive this form, we will contact you via phone or email to discuss your advertising requirements and how ADC Medi-Alert Services can assist you.

We refuse the right to run an ad based on content or content that is not valid to our site.

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