Subscription Form
LA County OB/GYN Directory
Subscription Information:
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Print this Form
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Prepare (up to 50 words) a "Professional Description" about your specialty,
practice ... etc. All material must be typed. You may send the prepared
material on a sheet of paper or by E.Mail.
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Complete the Subscription Form and write a check made payable to: Doctors
marketing Service
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Special annual subscription fee: Only $35/listing
(Regular fee $70). NO MEMBERSHIP DUES. Deadline Monday, February 15, 1999
CONTACT INFORMATION
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Organization
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Contact Name: First M.I. Last Title
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Number Street Suite # (P.O. Box) City State/ Zip Code
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Area Code Phone # FAX # Mailing Date
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Internet Web Site Address (URL) E. Mail Address
Mail this this form with your payment to:
Doctors marketing Service
P.O. Box 748, Lake Forest, California 92630-0748, USA