To place a
classified ad
, fill out the form below and continue to our secure payment page.
Contact name
*
Organization/Dental Office
Address
*
City
*
State
*
*Select State*
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Zip
*
Phone number
*
Email
*
Issues to Insert Ads
*
Run ad until further notice
Run ad for specific issues
Click the checkbox next to each issue you want to run ads in.
January/February
March/April
May/June
July/August
September/October
November/December
Classified Ad Cost
: $50 for 45 words or less, $1 for each additional word in excess of the initial 45.
Ad text
*
(Ad will appear as submitted below.)
Word count:
0
Payment amount per issue:
$50.00
$5 for PDA Box number reply.
Total payment amount:
$0.00
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