Order a Display Ad in the O&P Almanac

1. Contact Information:

The undersigned accepts the terms of the contract as stated on pages 1 and 2 for the O&P Almanac, published by the American Orthotic & Prosthetic Association.

Your First and Last Name^*

Your Email Address ^*

(* Required fields)

Name of Firm

Address

City, State and Zip

Telephone:

Fax:

Contact

 

Advertising Agency

Address

Address (Cont.)

Telephone:

Fax:

Contact

Bill to:
Company
Agency

Signature

Date

2. Please select from the items below:

Note: Editorial topics are subject to change.

Ad Size: Select Ad Size Full-page 2/3-page 1/2-page 1/3-page 1/4-page Spread

Ad Type: Select Ad Type 4-color 2-color Black/White

Ad Headline or Featured Product:

Place text to appear in the advertisement in the box below:

Special Position Request:**

**Please note special position provisions in the contract.

3. Method of Payment

Please select a method of payment:

Check or Money Order MasterCard/Visa

For check/money orders, please make checks payable to AOPA and mail to the address provided below. Payment must be released before placement deadline.

To pay via credit card, either:
• Submit this form online and we will contact you for credit card information, or
• Print this form and mail or fax with your card information to the address below.

American Orthotic & Prosthetic Association
330 John Carlyle St., Suite 200
Alexandria, VA 22314 USA
Attn: O&P Almanac Advertising
fax: (571) 431-0899
(888) 557-7277

Ship all artwork to:

American Orthotic Prosthetic Association
330 John Carlyle St., Suite 200
Alexandria, VA 22314
Attn: Corrinn Mullins
(571) 431-0876, ext. 260
fax: (571) 431-0899

Please retain a copy for your records.

Display ad rates