Advertising Agreement - Cancer Centers (Premium Listing)
logo

Cancer Guide Service
P.O. Box 493669
Redding, CA 96049-3669
TEL: (530) 246-1374 - FAX: (530) 232-2765

Contact: Robert Nelsen



Company Name:_____________________________________________________________________

Contact Name:______________________________________________________________________

Address:___________________________________________________________________________

City: _____________________________________________ State: _________ Zip: _____________

E-mail Address: __________________________________


Phone: ( ______ ) __________________________
FAX: ( ______ ) __________________________

Note: Doctors within your cancer treatment center's organization who are rated America's Top Cancer Doctors within the Castle Connolly Guide will be listed without chanrge in our website Cancer Doctors zip code locator database. 

ZIP CODE LOCATOR:
$9800.00 Paid Annually (Please make payable to Cancer Guide Service.)

Premium Listing Information: (Find A Cancer Center - Zip Code Locator Database)

Name of Cancer Center:_____________________________________________________________

Address:__________________________________________________________________________

City: _____________________________________________ State: _________ Zip: _____________

Cancer Assistance Hotline Phone: ( ______ ) _____________ Web Address: ____________________

Note: For promotional message, please include with signed agreement.

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________



Authorizing
Signature: ______________________________ Print Name: ____________________________


Title: ___________________________________ Date: ______________________________