Online Banners Web Form - Charleston Physicians

Thank you for selecting HealthLinks Charleston/HealthLinks Upstate to help brand and grow your practice. Please complete this form so we can create your online banner advertisements on CharlestonPhysicians.com or UpstatePhysiciansSC.com!

Required fields below are indicated by *

Region

Choose One*

HealthLinks Charleston

HealthLinks Upstate

CONTACT INFO

Your Name*

Your Email*

ONLINE BANNER INFO

Business Name*

Business Phone*

Begin Date

End Date

Website-Wide Sidebar Banner

Sidebar Banner?*

Yes

URL to direct your Sidebar banner advertisement to:

Specialty Page Banner

Specialty Page Banner?*

Yes

URL to direct your Medical Specialty banner advertisement to:

Select Medical Specialty

Integrated Content Banner

Integrated Content Banner(s)?*

Yes

# of articles contracted to place Integrated banners?

Can HealthLinks determine which articles to place your integrated content banners?

Yes

URL to direct your Integrated Content Banner advertisement to:

Can HealthLinks design your online banners?*

Yes

If not, please attach your online banner(s) ad here

FILES: Max File Size Allowed Per File: 10 MB. Allowed File Types Are: GIF, JPG, JPEG, PDF, PNG

GRAPHICS SIZES: Sidebar banner (300 x 250 pixels), Specialty Page banner (470 x 125 pixels), Integrated Content banner (470 x 125 pixels)

Any Notes for the HealthLinks Webmaster?

This field should be left blank