Advertising & Sponsorship Requests

If you would like to attach your own form with additional details, please upload it here.
If this is an ADVERTISING REQUEST, please complete the following:
May be in inches or pixels. Please include bleed requirements if applicable.
e.g. full-color, 2-color, black and white, etc.
e.g. PDF, JPEG, etc.

This document must be completed entirely for consideration. For questions regarding this form, please contact Kelly Schaeffer at 412-457-0097.

For posters, magazines and other printed materials, please mail a finished sample to Kelly Schaeffer, Premier Medical Associates, One Monroeville Center, 3824 Northern Pike, Suite 700, Monroeville, PA 15146.

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Type the characters you see in the picture above; if you can't read them, submit the form and a new image will be generated. Not case sensitive.