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Space is not officially reserved without this completed and signed contract. Payment AND Contract must be received no later than 10 days prior to posting date.
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Advertiser (Company Name): __________________
Contact: ___________________________
Title: ______________________________
Address: _______________________________
City: ____________________ State: _______ Zip: ____________
Phone: _______________ Fax: ________________
E-Mail: ___________________________________
Agency: ___________________________________
Please accept the advertising contract for space on the Federation’s
Job Bank web page according to the following specifications:
Period: □ 30 days (1 period)
□ 60 days (2 periods)
□ 90 days (3 periods)
Space: □ Maximum 75 words @ $125.00 per 30 day period
□ Maximum 150 words @$250.00 per 30 day period
□ Add $50 to above rate for e-mail/web page link
RATE CALCULATION:
$______________ (Space)
plus (+) $______________ OPTIONAL ($50 for active link)
times (x) _________ (Number of 30 Day Periods)
TOTAL RATE $______________
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AMOUNT OF PAYMENT: $_______________
❒ Check payable to “Federation of Texas Psychiatry”
❒ Visa ❒ Mastercard
Credit Card No.: ____________________________
Exp. Date ___________________
3 Digit Security Code on Right of Signature Panel ____________
Name of Cardholder: _________________________
Signature _______________________________
Credit Card Billing Address ______________________________________________________________
Date: ___________________
Return to: FEDERATION OF TEXAS PSYCHIATRY
401 West 15th Street, Suite #675, Austin, Texas 78701
512/478-0605, FAX 512/478-5223
E-Mail:TxPsychiatry@txpsych.org
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Availability
Advertising space is available and publication is determined on a case by case basis by the Federation. The Federation reserves the sole right to accept or reject any submitted advertising copy.
Payment
All advertising space must be paid for in advance of posting.
• No conditions, printed or otherwise, appearing on the space order, billing instructions or copy instructions which conflict with the publisher’s stated policy will be binding on the publisher.
• The Federation of Texas Psychiatry reserves the right to reject any advertising. Upon approval by the Federation, all approved advertising is accepted and published upon authorization from the advertiser to publish the entire contents and subject matter thereof. The advertiser agrees to hold the Federation of Texas Psychiatry harmless from all claims, damages and expenses rising out of any advertising accepted.
Contact
For more information about reserving your advertising space, contact:
Federation of Texas Psychiatry
401 West 15th Street, Suite 675
Austin, Texas 78701
Ph: (512) 478-0605
Fax: (512) 478-5223
E-Mail: TxPsychiatry@txpsych.org
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