Demographic Information
* Prefix:	* First Name:	* Last Name:
Title:	* Company:
* Street:		* City:
* State/Province:	* Zip:	* Country:
* Phone:	Fax:
* Email:
Advertising Options Select Issues *

April

July

September

November

January 09

Base Rates *
		Healthcare	Agency	Combined
	Two-page Spread	$1,875	$4,200	$6,000
	Full Page	$1,100	$2,300	$3,300
	2/3 Page	$800	$1,700	$2,400
	1/2 Page	$600	$1,300	$1,800
	1/3 Page	$400	$850	$1,200


Color Rates *
	4 Color Process, add:	$500 each issue

Premium positions (full page, full color only)

Premium positions are available on a first-come, first served basis and are guaranteed until cancelled by advertiser. All premium postions are full page/full color only. Please contact us to discuss premium position availability.

	Inside Front Cover, add:		$300 each issue
	Inside Back Cover, add:		$300 each issue
	Page One (1), add:		$300 each issue
	Back Cover, add:		$400 each issue
	Center Spread, add:		$400 each issue
	None

Additional Comments:

General Acceptance Policy

Advertisers and their agencies assume liability for all content (including text, representation and illustrations) of advertisements printed, and also assume responsibility for any claims arising therefrom made against the publisher; provided that any changes made by the publisher to the content require the advertiser's written consent. The publisher reserves the right to reject any advertising. This Agreement is governed by the current PaceSetter advertising rate schedule and general terms and conditions.

If you have any questions, contact:
Heather Taylor @ 765.751.7350

PaceSetter Advertising Space Request Form

Demographic Information

Advertising Options

Select Issues *

Base Rates *

Color Rates *

Premium positions (full page, full color only)

General Acceptance Policy