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Advanced Search	List Your Company - Your company will be listed for (1) year! A 50% discount will be applied if you choose to advertise in (4) or more product listings (i.e. source equipment, service / repair, etc) and / or website or page sponsorships. (e.g. If you advertise in 2 product listings + 2 page sponsorships, you will receive a 50% discount) 1. Contact Information Last Name: First Name: Company Street City State Zip Phone Email Address Other info to include in your Ad (Quote, Fax No, Email address, etc) 2. Choose Your Level of Sponsorship Select the Level of Sponsorship you wish to purchase: State Listing (see example) - your company listed in any state (choose the products categories and then the states you wish to list them in) $125 for each product category (1 – 5 states) $200 for each product category (6 – 15 states) $450 for each product category (all 50 states) Product Category Flow Meters/Vacuum Regulators/Gas Adapters/Accessories Architects Medical Gas Trainers Engineers Verifiers/Inspectors Contractors/Installers Bulk Systems/Gases Architectural Products Source Equipment Service/Repair Pipeline Equipment Choose number of states: List States: (OH, KY, etc) ..................................................... Page Sponsor $450 - (see example) As a page sponsor, (listed on a product specific page) Your company’s logo, on MedicalGasInfo.com’s product listing(s) of your choice, will be directly linked to your company’s website home page. You will be contacted for your business logo. Please select: Flow Meters/Vacuum Regulators/Gas Adapters/Accessories Architects Medical Gas Trainers Engineers Verifiers/Inspectors Contractors/Installers Bulk Systems/Gases Architectural Products Source Equipment Service/Repair Pipeline Equipment ...................................................... Website Sponsor $800 - website sponsor (main page, all general information pages such as "about us", "contact", etc) Your company’s logo, on MedicalGasInfo.com’s main page, will be directly linked to your company’s website home page. You will be contacted for your business logo. Enter Number :


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